Healthcare Provider Details

I. General information

NPI: 1194543272
Provider Name (Legal Business Name): HANNAH CHRISTINE HOVEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH CHRISTINE RIEGERT

II. Dates (important events)

Enumeration Date: 09/28/2024
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 ANNE ST NW
BEMIDJI MN
56601-5114
US

IV. Provider business mailing address

PO BOX 5074
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 218-333-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11779
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11779
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11779
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number11779
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: