IndividualActive
Amber Hanson, LN
NPI 1265916951 · Nutritionist · White Bear Lake, MN
Provider details
- NPI number
- 1265916951
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- LN
- Sex
- Female
- Sole proprietor
- Yes
- License
- N228 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2025 4th St
White Bear Lake, MN 55110-2762
Phone: (612) 787-2281
Approximate (ZIP-level) locationGet directions
Mailing address
3518 Johnson St Ne
Minneapolis, MN 55418-1413
Additional practice locations (1)
- 4450 Nicollet AveMinneapolis, MN 55419-5035Phone: (612) 598-8627Fax: (612) 284-7910
Registry dates
- Enumerated
- 2018-09-19
- Last updated
- 2019-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.