Individual
HANNAH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14619
MN
363A00000X
Physician Assistant
PAC1026
ND
Other
Enumeration date
04/14/2022
Last updated
10/14/2024
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