Individual provider · Type 1 NPI

Susan Janelle Hanson, PA-C

Medical Physician Assistant · Fargo, ND

NPI number 1114966751 Active

Practice location

1707 Gold Dr
Fargo, ND 58103-6413

Call (701) 280-2033 Map

Fax (701) 232-5578

Mailing address

4450 31st Ave S, Ste 102
Fargo, ND 58104-4557

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPAC0312 (ND)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1114966751

Susan Janelle Hanson, PA-C's National Provider Identifier is 1114966751, issued on Jun 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fargo, ND. The record was last updated on Apr 5, 2019.