Individual
MARY LOU HANSON
Active
Individual
MARY LOU HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R0741327
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407455
MEDICA HEALTH PLANS
—
01
—
1006658
PREFERRED ONE
—
01
—
110429
UCARE
—
01
—
50A57HA
BLUE CROSS BLUE SHIELD
—
01
—
912742900
MEDICAL ASSISTANCE
—
01
—
HP25437
HEALTH PARTNERS
—
Enumeration date
11/10/2005
Last updated
01/20/2009
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