Individual
HEIDI HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 240-2829
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 240-2829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1108092
TX
363L00000X
Nurse Practitioner
1108092
TX
363L00000X
Nurse Practitioner
Primary
13672
MN
Other
Enumeration date
10/14/2025
Last updated
01/14/2026
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