Individual
ANNMARIE ELIZABETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-5582
(952) 831-8742
Mailing address
1700 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-5582
(507) 382-3305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2020
Last updated
07/09/2025
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