Individual
MARIDEL DE OCAMPO ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CWOCN
Contact information
Practice address
499 8TH ST NE, CROSBY, MN 56441-1550
(612) 227-4095
Mailing address
PO BOX 74, CROSBY, MN 56441-0074
(612) 227-4095
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
220404
MN
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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