Individual
PANDORA HANSON-PROWD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8241 BRANDYWINE PKWY, BROOKLYN PARK, MN 55444-1507
(612) 226-2921
Mailing address
8241 BRANDYWINE PKWY, BROOKLYN PARK, MN 55444-1507
(612) 226-2921
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10479
MN
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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