Healthcare Provider Details

I. General information

NPI: 1083544985
Provider Name (Legal Business Name): CYNTHIA HANSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W EISENHOWER AVE
NORFOLK NE
68701-2210
US

IV. Provider business mailing address

PO BOX 89
NELIGH NE
68756-0089
US

V. Phone/Fax

Practice location:
  • Phone: 402-371-3454
  • Fax: 402-644-8093
Mailing address:
  • Phone: 402-887-5041
  • Fax: 866-737-5735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: