Healthcare Provider Details
I. General information
NPI: 1891621181
Provider Name (Legal Business Name): SELENA HANUS IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10818 ELM ST
OMAHA NE
68144-4820
US
IV. Provider business mailing address
5930 S 58TH ST STE W
LINCOLN NE
68516-3653
US
V. Phone/Fax
- Phone: 402-502-0617
- Fax: 402-502-4676
- Phone: 402-423-6402
- Fax: 402-423-6422
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174N00000X |
| Taxonomy | Lactation Consultant (Non-RN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: