Individual
MRS. HEIDI ANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
366 E GEORGE ST, IVANHOE, MN 56142-9711
(507) 694-1377
(507) 694-1379
Mailing address
366 E GEORGE ST, IVANHOE, MN 56142-9711
(507) 694-1377
(507) 694-1379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R180645-2
MN
363LF0000X
Family Nurse Practitioner
Primary
3686
MN
Other
Enumeration date
05/20/2013
Last updated
03/09/2015
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