Individual
ANITA FLORENCE SUNDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(800) 833-8979
Mailing address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(800) 833-8979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1857
MN
363LF0000X
Family Nurse Practitioner
R 140335-0
MN
Other
Enumeration date
06/20/2013
Last updated
06/13/2022
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