Healthcare Provider Details

I. General information

NPI: 1033576483
Provider Name (Legal Business Name): HANNAH SEARS PURKETT PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH SEARS COOPER

II. Dates (important events)

Enumeration Date: 01/15/2016
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5123 W 98TH ST STE 2082
MINNEAPOLIS MN
55437-2040
US

IV. Provider business mailing address

2430 JEWEL LN N
PLYMOUTH MN
55447-2261
US

V. Phone/Fax

Practice location:
  • Phone: 337-991-9276
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number15550
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: