Individual
BRANDON MARK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CNP
Contact information
Practice address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3650
Mailing address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227183-7
MN
363L00000X
Nurse Practitioner
Primary
XXX
MN
Other
Enumeration date
01/31/2018
Last updated
07/31/2020
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