Wogstad-Hansen, Mariken Ellen
Wogstad-Hansen, Mariken Ellen is an sole proprietor health care provider with primary practice located at 91 Snelling Ave N Suite 230, Saint Paul MN 55104-6753. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wogstad-Hansen, Mariken Ellen can be contacted via phone (651) 603-0540.Contact Information
Primary practice address
91 Snelling Ave N Suite 230
Saint Paul MN 55104-6753
Phone: (651) 603-0540
Fax: (651) 603-0541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP3116 | Minnesota |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3116 | Minnesota |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | LP3116 | Minnesota |
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | R0803692 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | R0803692 | Minnesota |
Profile Details
| NPI number | 1780700039 |
|---|---|
| LBN Legal business name | Wogstad-Hansen, Mariken Ellen |
| Credentials | PHD, LP, RN, CNS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1780700039 | NPPES |
| Minnesota | Other | 330L9WO | BLUE CROSS, RN, CNS |
| Minnesota | Other | 385K0WO | BLUE CROSS, RN, CNS |
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