Individual
KORPO NGAIMA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2220 RIVERSIDE AVE, MC 21110Q HEALTHPARTNERS RIVERSIDE CLINIC, MINNEAPOLIS, MN 55454-1321
(952) 883-6805
(952) 883-6117
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(952) 883-6117
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
A0712171
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
G0812010
MN
Other
Enumeration date
10/22/2012
Last updated
01/02/2013
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