| Leah Hanson, Pmhnp, Bc, Pllc | |
|
24 Main St N Suite I Minot ND 58703-3104 | |
| (701) 500-7599 | |
| (701) 516-8026 |
| Full Name | Leah Hanson, Pmhnp, Bc, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 Main St N, Minot, North Dakota |
| Authorized Official Name and Position | Leah Hanson (OWNER) |
| Authorized Official Contact | 7015007599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Hanson, Pmhnp, Bc, Pllc 24 Main St N Suite I Minot ND 58703-3104 Ph: (701) 500-7599 | Leah Hanson, Pmhnp, Bc, Pllc 24 Main St N Suite I Minot ND 58703-3104 Ph: (701) 500-7599 |
| NPI Number | 1336694405 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/18/2016 |
| Medicare PECOS PAC ID | 7911277470 |
|---|---|
| Medicare Enrollment ID | O20170724001372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336694405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | R29510 (North Dakota) | Primary |
| Provider Name | Leah A Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427146109 PECOS PAC ID: 7012176407 Enrollment ID: I20120305000064 |
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