Individual provider · Type 1 NPI

Mary E. Hanson, PNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1114903978 Active

Practice location

5320 Hyland Greens Dr
Minneapolis, MN 55437-3934

Mailing address

6465 Wayzata Blvd, Suite 315
St. Louis Park, MN 55426-1728

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR0591344 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1114903978

Mary E. Hanson, PNP's National Provider Identifier is 1114903978, issued on Dec 22, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2026.