Individual
AMANDA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Mailing address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R34199
ND
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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