MEDICARE: HANNAH HOLIEN DNP, APRN, FNP-BC

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
1	363L00000X	Nurse Practitioner	13907	MN

General Provider Information

NPI Number	:	1639010523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH HOLIEN DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	3833 RICHTER AVE
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56301-9583
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9201 W BROADWAY AVE STE 601
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55445-1924
Country	:	US
Telephone Number	:	763-587-7999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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