Individual
KATRINA RENEA HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-1340
Mailing address
120 HIGHWAY 13 E APT 309, BURNSVILLE, MN 55337-4819
(612) 385-0754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8288
MN
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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