Individual
HANNAH GILLMER VAN WYLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
4017 37TH AVE S, MINNEAPOLIS, MN 55406-3407
(651) 278-7222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 191471-3
MN
363LF0000X
Family Nurse Practitioner
Primary
CNP 4830
MN
Other
Enumeration date
08/05/2016
Last updated
10/05/2016
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