MEDICARE: HANNAH STACIA SAYNER KULMAN

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1508420902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH STACIA SAYNER KULMAN

Provider Business Mailing Address
First Line	:	800 E 28TH ST STE 401
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-3723
Country	:	US
Telephone Number	:	612-863-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E 28TH ST STE 401
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-3723
Country	:	US
Telephone Number	:	612-863-0200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2019
Last Update Date	:	01/27/2026

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