Healthcare Provider Details

I. General information

NPI: 1699206219
Provider Name (Legal Business Name): HANNAH NEUHAUS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N COTNER BLVD STE 208
LINCOLN NE
68505-2343
US

IV. Provider business mailing address

600 N COTNER BLVD STE 208
LINCOLN NE
68505-2343
US

V. Phone/Fax

Practice location:
  • Phone: 402-464-5969
  • Fax:
Mailing address:
  • Phone: 402-464-5969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number34112
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: