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Individual

AMY HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

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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