Individual
VERNON L HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP-C
Contact information
Practice address
13688 ROGERS DR, SUITE 230, ROGERS, MN 55374-4916
(952) 949-1035
Mailing address
18103 DANE DR, EDEN PRAIRIE, MN 55347
(952) 949-1035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 183741-8
MN
Other
Enumeration date
05/09/2012
Last updated
06/27/2012
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