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NPI Code Detail

MEDICARE: DOREEN KAY HANSON RN

MEDICARE: DOREEN KAY HANSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered NurseR111134-1MN

General Provider Information

NPI Number : 1285860395
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOREEN KAY HANSON RN
Provider Business Mailing Address
First Line : 725 ELM ST
Second Line : SUITE 1200
City : ALEXANDRIA
State : MN
Zip : 56308-1760
Country : US
Telephone Number : 320-763-6018
Fax Number : 320-763-4127
Provider Business Practice Location Address
First Line : 725 ELM ST
Second Line : SUITE 1200
City : ALEXANDRIA
State : MN
Zip : 56308-1760
Country : US
Telephone Number : 320-763-6018
Fax Number : 320-763-4127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2009
Last Update Date : 06/03/2009

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