Individual
JOEL JUSTIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C
Contact information
Practice address
2311 W LINCOLN AVE, FERGUS FALLS, MN 56537-1064
(218) 739-8600
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4539
MN
363LF0000X
Family Nurse Practitioner
R42796
ND
Other
Enumeration date
06/01/2016
Last updated
01/31/2017
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