Individual
MARY KAY HANSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
(952) 831-1626
Mailing address
6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0632656
MN
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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