Individual provider · Type 1 NPI

Mariah Rae Hanson, PA-C

Physician Assistant · Maple Grove, MN

NPI number 1659890762 Active

Practice location

9550 Upland Ln N Ste 100
Maple Grove, MN 55369-4482

Fax (763) 537-6666

Mailing address

2104 Northdale Blvd NW Ste 220
Minneapolis, MN 55433-3046

Other practice locations

  • 7400 France Ave S Ste 100, Edina, MN 55435-4738 · (763) 537-6000
  • 675 E Nicollet Blvd Ste 245, Burnsville, MN 55337-6782 · (763) 537-6000
  • 2104 Northdale Blvd NW Ste 220, Coon Rapids, MN 55433-3046 · (763) 537-6000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X7695-23 (WI)
Physician Assistant Primary 363A00000X12527 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

3 other providers at this address

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About NPI 1659890762

Mariah Rae Hanson, PA-C's National Provider Identifier is 1659890762, issued on Sep 11, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maple Grove, MN. The record was last updated on Jan 28, 2025.