Individual
LEAH ANN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Mailing address
24 MAIN ST N, STE I, MINOT, ND 58703-3104
(701) 500-7599
(701) 516-8026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R29510
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54517
—
ND
Enumeration date
10/10/2006
Last updated
05/02/2017
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