Individual provider · Type 1 NPI
Kimberly Dawn Hanson
Adult Health Nurse Practitioner · St. Paul, MN
NPI number
1649830225
Active
Practice location
1884 Randolph Ave
St. Paul, MN 55105-1747
Mailing address
1246 Nursery Hill Ln
St. Paul, MN 55112-5712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 6479 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1649830225
Kimberly Dawn Hanson's National Provider Identifier is 1649830225, issued on Jun 17, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Paul, MN. The record was last updated on Jun 17, 2019.