Healthcare Provider Details

I. General information

NPI: 1427028174
Provider Name (Legal Business Name): NANCY J HASSETT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E CENTRAL ENTRANCE SUITE 200
DULUTH MN
55811-5520
US

IV. Provider business mailing address

2002 HARTLEY RD
DULUTH MN
55803-2433
US

V. Phone/Fax

Practice location:
  • Phone: 218-722-0833
  • Fax:
Mailing address:
  • Phone: 218-728-2027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR095470-3
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: