Individual
BRENT HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CNP, PMHNP-BC
Contact information
Practice address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 730-2367
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 730-2367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R190864-8
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP4747
MN
Other
Enumeration date
07/27/2016
Last updated
10/29/2020
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