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Individual

TRUDY LYNN HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-C

Contact information

Practice address
225 SMITH AVE N, SUITE 300, ST PAUL, MN 55102-2592
(651) 241-5000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

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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