Individual
CHRISTINE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 463-1365
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP3935
MN
363L00000X
Nurse Practitioner
Primary
R193515-8
MN
Other
Enumeration date
05/12/2015
Last updated
11/07/2022
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