Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDA JEAN HANSEN
Active Sole ProprietorBRENDA JEAN HANSEN is a Developmental Disabilities Clinic healthcare provider located in FLOODWOOD, Minnesota. NPI 1235397381 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · FLOODWOOD, MN
Registration Details
- NPI Number
- 1235397381
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2008 (18.199670789647 yrs)
- Last Updated
- May 27, 2008
- License
-
830452 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 6TH AVENUE WESTFLOODWOOD, MN, 55736Browse MN providers · Browse ZIP 55736
- Phone
- 2183906167
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.