Provider Demographics
NPI:1427028174
Name:HASSETT, NANCY J (FNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:HASSETT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 HARTLEY RD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55803-2433
Mailing Address - Country:US
Mailing Address - Phone:218-728-2027
Mailing Address - Fax:
Practice Address - Street 1:1001 E CENTRAL ENTRANCE
Practice Address - Street 2:SUITE 200
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-5520
Practice Address - Country:US
Practice Address - Phone:218-722-0833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR095470-3363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
HP39373OtherHEALTH PARTNERS
142733OtherUCARE
1031984OtherPREFERRED ONE
MN103290900Medicaid
1907887OtherAMERICA'S PPO (ARAZ)
MN68G35HAOtherBCBS MN
01-10119OtherMEDICA
29121OtherSIOUX VALLEY HEALTH PLAN