Healthcare Provider Details

I. General information

NPI: 1871424135
Provider Name (Legal Business Name): HANNAH EGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3395 PLYMOUTH RD
MINNETONKA MN
55305-3765
US

IV. Provider business mailing address

2837 HAMPSHIRE AVE S
SAINT LOUIS PARK MN
55426-3348
US

V. Phone/Fax

Practice location:
  • Phone: 952-939-0396
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: