Healthcare Provider Details

I. General information

NPI: 1326001926
Provider Name (Legal Business Name): NICHOLE A HANSON RN, MSN, NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICHOLE A ZWENGER APRN

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 10TH AVE
TOPEKA KS
66604-1301
US

IV. Provider business mailing address

PO BOX 1897
WICHITA KS
67201-1897
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-6440
  • Fax:
Mailing address:
  • Phone: 316-268-8131
  • Fax: 316-291-4788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number53-45854
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: