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Individual

MISS KRISTEN CHASE HANCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN60023945
WA
363LF0000X
Family Nurse Practitioner
AP60116836
WA
363LF0000X
Family Nurse Practitioner
Primary
R2068312
MN

Other

Enumeration date
10/27/2009
Last updated
09/17/2013
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