Individual
NANCY HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4300 GLUMACK DR, SAINT PAUL, MN 55111-3002
(262) 483-2084
Mailing address
906 COUNTY ROAD D W APT 233, NEW BRIGHTON, MN 55112-7533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13516
MN
Other
Enumeration date
05/28/2020
Last updated
01/16/2021
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