Healthcare Provider Details

I. General information

NPI: 1457207003
Provider Name (Legal Business Name): TRACY KARR-HANSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 S EDDY ST
GRAND ISLAND NE
68801-7114
US

IV. Provider business mailing address

1804 S EDDY ST PO BOX 1863
GRAND ISLAND NE
68801-7114
US

V. Phone/Fax

Practice location:
  • Phone: 308-384-7896
  • Fax: 308-382-6802
Mailing address:
  • Phone: 308-384-7896
  • Fax: 308-382-6802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: