Individual
BOBBI HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WASHINGTON AVE STE 402, WILLISTON, ND 58801-5242
(701) 651-7349
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
(701) 651-7349
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
172A00000X
Driver
Primary
—
—
174400000X
Specialist
00000
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460508
—
ND
Enumeration date
10/01/2019
Last updated
04/14/2021
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