Dianne M Hansen, RN,C AHN-BC, LMT
Registered Nurse, Nurse Massage Therapist (NMT) in Saint Paul, MN. Individual provider (NPI-1).
NPI number1356653752
StatusActive
Last updated in NPPESJul 14, 2010
Details
- NPI
- 1356653752
- Entity type
- Individual (NPI-1)
- Name
- Dianne M Hansen
- Credential
- RN,C AHN-BC, LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2010
- Last updated
- Jul 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM1400X | Registered Nurse, Nurse Massage Therapist (NMT) | 20040004594 | MN | Yes |
| 163WN1003X | Registered Nurse, Nutrition Support | R110668-6 | MN | |
| 163WR0400X | Registered Nurse, Rehabilitation | R110668-6 | MN |
Practice location
732 Larpenteur Ave WSaint Paul, MN 55113-6558
Phone 651-785-8279
Mailing address
1769 Lexington Ave NN #236
Saint Paul, MN 55113-6522
Phone 651-785-8279
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