Hanson, Gretchen L
Hanson, Gretchen L is an individual health care provider with primary practice located at 1575 Beam Ave , Maplewood MN 55109-1126. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Hanson, Gretchen L can be contacted via phone (651) 232-7000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | R1402513 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | R1402513 | Minnesota |
Profile Details
NPI number | 1023074655 |
---|---|
LBN Legal business name | Hanson, Gretchen L |
Credentials | CNNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2006 |
Last updated | Jul 20th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023074655 | NPPES |
Minnesota | MEDICAID | 305435700 |
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