Individual
MRS. ANDREA MARIE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 32ND AVE SOUTH, FARGO, ND 58103
(701) 234-2000
Mailing address
2400 32ND AVE SOUTH, FARGO, ND 58103
(701) 234-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R38295
ND
390200000X
Student in an Organized Health Care Education/Training Program
R38295
ND
Other
Enumeration date
11/07/2016
Last updated
02/03/2017
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