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NPI Code Detail

MEDICARE: SONJA ABIGAIL HANNIGAN MSN

MEDICARE:   SONJA ABIGAIL HANNIGAN  MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR1194012MN
2363LF0000XFamily Nurse Practitioner95080546CA

General Provider Information

NPI Number : 1265426860
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONJA ABIGAIL HANNIGAN MSN
Provider Business Mailing Address
First Line : 3418 PENNINGTON AVE S
Second Line :
City : AFTON
State : MN
Zip : 55001-9740
Country : US
Telephone Number : 651-436-2659
Fax Number :
Provider Business Practice Location Address
First Line : 1 SANSOME ST STE 3500
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94104-4436
Country : US
Telephone Number : 604-423-4050
Fax Number : 604-243-6214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 02/02/2022

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Directions to “ SONJA ABIGAIL HANNIGAN MSN” Practice Location

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