Hanson, Mary Lou

Hanson, Mary Lou is an individual health care provider with primary practice located at 1406 6Th Avenue North St. Cloud Hospital, St. Cloud MN 56303-1901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hanson, Mary Lou can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1406 6Th Avenue North St. Cloud Hospital St. Cloud MN 56303-1901
Phone: (320) 251-2700
Fax: (320) 229-5109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R0741327 Minnesota

Profile Details

NPI number 1346221793
LBN Legal business name Hanson, Mary Lou
Credentials BS, RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jan 20th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346221793 NPPES
Other 0407455 MEDICA HEALTH PLANS
Other 110429 MEDICA HEALTH PLANS
Other 1006658 MEDICA HEALTH PLANS
Other HP25437 MEDICA HEALTH PLANS
Other 50A57HA MEDICA HEALTH PLANS
Other 912742900 MEDICA HEALTH PLANS

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