Healthcare Provider Details

I. General information

NPI: 1306870803
Provider Name (Legal Business Name): JOAN MARIE HANSON N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF MINNESOTA PHYSICIANS 606 24TH AVENUE SOUTH, SUITE 500
MINNEAPOLIS MN
55454
US

IV. Provider business mailing address

UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE STREET SE, MMC 395
MINNEAPOLIS MN
55454
US

V. Phone/Fax

Practice location:
  • Phone: 612-627-4564
  • Fax:
Mailing address:
  • Phone: 612-626-3111
  • Fax: 612-626-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR 119637-9
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR 119637-9
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: