MARY LOU HANSON BS RN CNP NPI 1346221793

NPI Information

NPI: 1346221793
Provider Name: MARY LOU HANSON, BS, RN, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1406 6TH AVENUE NORTH
ST. CLOUD HOSPITAL
ST. CLOUD, MN
ZIP 56303
Phone: (320) 251-2700
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Mary Lou Hanson, BS, RN, CNP is an adult health nurse practitioner in St. Cloud, MN. Mary Lou Hanson, BS, RN, CNP NPI is 1346221793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1406 6TH AVENUE NORTH
ST. CLOUD HOSPITAL
ST. CLOUD, MN
ZIP 56303-901
Phone: (320) 251-2700
Fax: (320) 229-5109

The enumeration date for this NPI number is 11/10/2005 and was last updated on 1/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R0741327	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	0407455	OTHER	MEDICA HEALTH PLANS
2	HP25437	OTHER	HEALTH PARTNERS
3	500000975	MEDICARE ID-TYPE UNSPECIFIED
4	500021152	MEDICARE ID-TYPE UNSPECIFIED	RR MEDICARE
5	110429	OTHER	UCARE
6	912742900	OTHER	MEDICAL ASSISTANCE
7	C11369	MEDICARE ID-TYPE UNSPECIFIED	RR MEDICARE
8	50A57HA	OTHER	BLUE CROSS BLUE SHIELD
9	1006658	OTHER	PREFERRED ONE
10	R04808	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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