Individual provider · Type 1 NPI

Korpo Ngaima Hanson, NP

Gerontology Nurse Practitioner · Minneapolis, MN

NPI number 1306199799 Active

Practice location

2220 Riverside Ave, Mc 21110Q Healthpartners Riverside Clinic
Minneapolis, MN 55454-1321

Fax (952) 883-6117

Mailing address

8170 33rd Ave S, MS21110Q
Minneapolis, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XA0712171 (MN)
Gerontology Nurse Practitioner Primary 363LG0600XG0812010 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1306199799

Korpo Ngaima Hanson, NP's National Provider Identifier is 1306199799, issued on Oct 22, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 2, 2013.