Individual
ROBYN M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2799
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10447
MN
363A00000X
Physician Assistant
Primary
PAC0396
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71461
—
ND
Enumeration date
07/23/2008
Last updated
11/04/2020
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