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Individual
MAGDALENE MARIE ANDERSON
Active
Individual
MAGDALENE MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
10423781-4405
UT
363LN0000X
Neonatal Nurse Practitioner
Primary
7016
MN
Other
Enumeration date
12/12/2017
Last updated
01/15/2024
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