Healthcare Provider Details

I. General information

NPI: 1467007096
Provider Name (Legal Business Name): HANNA BISHOP MOLINARI APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2019
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15676 PILOT KNOB RD
APPLE VALLEY MN
55124-7293
US

IV. Provider business mailing address

15676 PILOT KNOB RD
APPLE VALLEY MN
55124-7293
US

V. Phone/Fax

Practice location:
  • Phone: 952-952-1153
  • Fax: 952-952-1154
Mailing address:
  • Phone: 952-952-1153
  • Fax: 952-952-1154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberC155598
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number9849
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: