KIMBERLY DAWN HANSON
NPI 1649830225
Nurse Practitioner - Adult Health in Saint Paul, MN

Active since June 17, 2019
1884 RANDOLPH AVE, SAINT PAUL, MN 55105(651) 287-7777 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Dawn Hanson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY DAWN HANSON (NPI 1649830225) is an individual adult health provider in Saint Paul, Minnesota, licensed in Minnesota (6479) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1649830225
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY DAWN HANSON
Location Address1884 RANDOLPH AVESaint Paul, MN 55105-1747
Mailing Address1246 Nursery Hill LnSaint Paul, MN 55112-5712 · (651) 210-4004
Sole ProprietorYes
Enumeration DateJune 17, 2019
NPI 1649830225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MN · 6479
1884 RANDOLPH AVE, Saint Paul, MN 55105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Hanson's NPI number?

The NPI number for Kimberly Hanson is 1649830225. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Kimberly Hanson located?

Kimberly Hanson practices at 1884 Randolph Ave, Saint Paul, MN 55105. The listed phone number is (651) 287-7777.

What is Kimberly Hanson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kimberly Hanson was last updated on June 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.