Healthcare Provider Details

I. General information

NPI: 1467235127
Provider Name (Legal Business Name): AMY MARIE HANSEN-SCHWINGHAMER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 COUNCIL FIRE CIR
GALENA IL
61036-1441
US

IV. Provider business mailing address

229 COUNCIL FIRE CIR
GALENA IL
61036-1441
US

V. Phone/Fax

Practice location:
  • Phone: 952-594-5232
  • Fax: 563-202-6975
Mailing address:
  • Phone: 952-594-5232
  • Fax: 563-202-6975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17955-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13466
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number870359
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277.005382
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA182536
License Number StateIA
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-84568042
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: