Individual
TRUDY LYNN HANSON
Active
Individual
TRUDY LYNN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
R42477
ND
363LG0600X
Gerontology Nurse Practitioner
Primary
7705
MN
363LG0600X
Gerontology Nurse Practitioner
R42477
ND
363LX0106X
Occupational Health Nurse Practitioner
7705
MN
Other
Enumeration date
02/19/2021
Last updated
03/22/2023
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