MEDICARE: HANNAH HELD

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	363A00000X	Physician Assistant	15719	MN

General Provider Information

NPI Number	:	1740047968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH HELD

Provider Business Mailing Address
First Line	:	940 WOODLAND AVE
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55812-1113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 WOODLAND AVE
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55812-1113
Country	:	US
Telephone Number	:	218-625-4823
Fax Number	:

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

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/12/2026

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Directions to “ HANNAH HELD ” Practice Location

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