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Individual

MARLYS A ANDERSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
310 BELLE AVE, MANKATO, MN 56001-5287
(507) 387-5581
Mailing address
62150 200TH ST, LITCHFIELD, MN 55355-6410
(320) 693-3914

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
07/08/2007
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