Individual
BRITTANY HACKSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11850 BLACKFOOT ST NW STE 100, COON RAPIDS, MN 55433-2774
(763) 712-2100
Mailing address
1414 ASBURY ST, SAINT PAUL, MN 55108-2434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10127
MN
Other
Enumeration date
04/12/2023
Last updated
05/02/2023
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