person
Mary Lou Hanson, BS,RN,CNP
Adult Health Nurse Practitioner in St. Cloud, Minnesota
NPI 1346221793

Mary Lou Hanson is an Adult Health Nurse Practitioner based in St. Cloud, MN and is specialized in Adult Health. Mary Lou Hanson practices in St. Cloud, MN and has the professional credentials of BS,RN,CNP. The NPI Number for Mary Lou Hanson is 1346221793 and holds a License No. R0741327 (Minnesota).

The current practice location address for Mary Lou Hanson is 1406 6Th Avenue North, St. Cloud, MN and can be reached out via phone at 320-251-2700 and via fax at 320-229-5109.

Location: 1406 6Th Avenue North, St. Cloud, MN, 56303-1901
person
Provider Profile Details
NPI Number
1346221793
Provider Name
Mary Lou Hanson
Credential
BS,RN,CNP
Provider Entity Type
Individual
Gender
Female
Address
1406 6Th Avenue North, St. Cloud, MN, 56303-1901
Phone Number
320-251-2700
Fax Number
320-229-5109
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0407455 01 MEDICA HEALTH PLANS
110429 01 UCARE
1006658 01 PREFERRED ONE
HP25437 01 HEALTH PARTNERS
50A57HA 01 BLUE CROSS BLUE SHIELD
912742900 01 MEDICAL ASSISTANCE
institution
Provider Business Practice Location Address Details
Address
1406 6Th Avenue North
City
State
Zip
56303-1901
Phone Number
320-251-2700
Fax Number
320-229-5109
person
Provider Business Mailing Address Details
Address
1406 6Th Avenue North
City
State
Zip
56303-1901
Phone Number
320-251-2700
Fax Number
320-229-5109
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R0741327 (Minnesota)
Definition
Definition to come...
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