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Individual

JOANNA BETH HANLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Mailing address
8170 33RD AVE S, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(651) 439-1234

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2039040
MN
163W00000X
Registered Nurse
237482-30
WI
363LF0000X
Family Nurse Practitioner
Primary
5204
MN
363LF0000X
Family Nurse Practitioner
7944-33
WI

Other

Enumeration date
07/06/2017
Last updated
10/16/2017
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