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Heather Lynn Hanson, LPN

Licensed Practical Nurse in Fergus Falls, MN. Individual provider (NPI-1).

NPI number1649420522
StatusActive
Last updated in NPPESSep 26, 2008

Details

NPI
1649420522
Entity type
Individual (NPI-1)
Name
Ms. Heather Lynn Hanson
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 26, 2008
Last updated
Sep 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseL0494137MNYes

Practice location

106 4th Ave N
Fergus Falls, MN 56537-1034

Phone 218-998-3778 · Fax 218-998-3187

Mailing address

324 Langford St
Detroit Lakes, MN 56501

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