Organization
HANAN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASISAT OMOTAYO ASHAGBE APRN (NURSE PRACTITIONER)
(240) 593-5653
Entity
Organization
Contact information
Practice address
2042 WOODDALE DR STE 250-5000, WOODBURY, MN 55125-2981
(612) 662-8999
(612) 416-8856
Mailing address
2042 WOODDALE DR STE 250-5000, WOODBURY, MN 55125-2981
(651) 381-8720
(612) 416-8856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2022
Last updated
07/18/2023
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