Individual
MARLYS A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R047228-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-03393
MEDICA
—
01
—
1016951
PREFERRED ONE
—
01
—
1067662
AMERICA'S PPO (ARAZ)
—
01
—
111463
UCARE
—
01
—
33162
SIOUX VALLEY HEALTH PLAN
—
01
—
68G21AN
BCBS MN
MN
01
—
HP21391
HEALTH PARTNERS
—
Enumeration date
01/26/2006
Last updated
07/13/2026
Update your record
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