Lucille Mary Hansen
Registered Nurse, Home Health in Mendota Heights, MN. Individual provider (NPI-1).
NPI number1124767751
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1124767751
- Entity type
- Individual (NPI-1)
- Name
- Lucille Mary Hansen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2022
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | R1234752 | MN | Yes |
Practice location
2160 Highway 13 Unit 111Mendota Heights, MN 55120-1102
Phone 763-442-0883
Mailing address
2160 Highway 13 Unit 111Mendota Heights, MN 55120-1102
Phone 763-442-0883
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