# DIANNE M HANSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356653752
- **Gender:** F
- **Credential:** RN,C AHN-BC, LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM1400X | Nurse Massage Therapist (NMT) | 20040004594 | MN | Yes |
| 163WN1003X | Nutrition Support Registered Nurse | R110668-6 | MN | — |
| 163WR0400X | Rehabilitation Registered Nurse | R110668-6 | MN | — |

## Other

- **Enumeration date:** 07/14/2010
- **Last updated:** 07/14/2010