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Individual
ANITA MARIE HANDEVIDT
Active
Individual
ANITA MARIE HANDEVIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNP CNS
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0902409
MN
364S00000X
Clinical Nurse Specialist
Primary
R0902409
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164160
UCARE
MN
05
—
236135300
—
MN
01
—
374M2HA
BCBS
MN
Enumeration date
08/09/2006
Last updated
02/03/2017
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