Search › Minnesota › 103T00000X
Sandra Smith Hanen, EDD
NPI 1750480679 · on the registry since 2006
Practice
- Address
- 4323 E Lake St
Minneapolis, MN 55406 - Phone
- (612) 722-1003
- Fax
- (612) 721-6336
- Organisation at this address
- River Lake Clinic Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TF0200X
103TB0200X
103TC1900X
103TA0700X
103TF0000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota