Individual
SUSAN L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1542 GOLF COURSE RD, SUITE 202, GRAND RAPIDS, MN 55744-3555
(218) 327-7973
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R145662-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364T2AN
BCBS
MN
Enumeration date
08/05/2007
Last updated
08/05/2007
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