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Individual
HOLLY ANDERSON
Active
Individual
HOLLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60043081
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-21435
MEDICA
MN
01
—
10091
AVERA
FM
05
—
1069039
—
IA
01
—
2307523
ARAZ
FM
01
—
465R5AN
BCBS
FM
01
—
465R5AN
BLUE PLUS
MN
05
—
958105700
—
MN
01
—
HP50102
HEALTH PARTNERS
FM
01
—
MH9041043467
PPO
MN
Enumeration date
12/01/2005
Last updated
11/23/2010
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