# HOLLY ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457335747
- **Gender:** F
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA60043081 | WA | Yes |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 11/23/2010

## 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 |
