Individual
DEBORAH JANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP,C
Contact information
Practice address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
(651) 345-1151
Mailing address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
(651) 345-1151
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
122790-5
MN
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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