Individual
MARY E HANSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
5320 HYLAND GREENS DR, MINNEAPOLIS, MN 55437-3934
(952) 993-2555
Mailing address
6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0591344
MN
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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