STACY JO HANSON

MINNEAPOLIS, MN
NPI1609836949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R 130618-5)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
-- STACY JO HANSON CRNA
800 E 28TH ST
MINNEAPOLIS, MN 55407-3723
Phone number: 612-871-7639
Mailing Address
-- STACY JO HANSON CRNA
2545 CHICAGO AVE
MINNEAPOLIS, MN 55404-4522
Phone number: