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NPI Code Detail

MEDICARE: LINDA R HANSON CNP

MEDICARE:   LINDA R HANSON  CNP
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
1163WW0000XWound Care Registered Nurse199929112SD
2363L00000XNurse PractitionerCNPCP000386SD
3363L00000XNurse PractitionerR026343SD
4363L00000XNurse PractitionerR1401378MN
5363L00000XNurse PractitionerA098703IA

General Provider Information

NPI Number : 1851365563
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA R HANSON CNP
Provider Business Mailing Address
First Line : 5000 S MINNESOTA AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-2707
Country : US
Telephone Number : 605-371-6899
Fax Number : 877-215-2301
Provider Business Practice Location Address
First Line : 5000 S MINNESOTA AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-2707
Country : US
Telephone Number : 605-371-6899
Fax Number : 877-215-2301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 07/22/2013

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