Individual
CHARA J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
675 E NICOLLET BLVD STE 100, BURNSVILLE, MN 55337-6749
(952) 892-7190
(952) 892-7956
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5309
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R126603-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413227
MEDICA
MN
01
—
1021486
PREFERREDONE
MN
01
—
127465
UCARE
MN
05
—
406274400
—
MD
05
—
43941700
—
WI
01
—
47B02AN
BLUE CROSS/BLUE SHIELD
MN
05
—
585814300
—
MN
01
—
925677
AMERICA'S PPO
MN
01
—
HP29538
HEALTHPARTNERS
MN
Enumeration date
03/07/2006
Last updated
12/14/2017
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