Hanson, Mariah Rae

Hanson, Mariah Rae is an individual health care provider with primary practice located at 9550 Upland Ln N Ste 100 , Maple Grove MN 55369-4482. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hanson, Mariah Rae can be contacted via phone (763) 537-6000.

Contact Information

Primary practice address
9550 Upland Ln N Ste 100 Maple Grove MN 55369-4482
Phone: (763) 537-6000
Fax: (763) 537-6666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7695-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12527 Minnesota

Profile Details

NPI number 1659890762
LBN Legal business name Hanson, Mariah Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2017
Last updated Jan 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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