Individual
AMY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7500
(651) 602-7580
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
726
MN
367A00000X
Advanced Practice Midwife
Primary
67
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-03165
MEDICA
MN
05
—
127077000
—
MN
01
—
142933
UCARE
MN
01
—
51M32MA
BCBS
MN
01
—
HP36988
HEALTH PARTNERS
MN
01
—
NA9021032415
PREFERRED ONE
MN
Enumeration date
04/05/2006
Last updated
02/20/2020
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