Individual
SHEILA K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC NICU MPLS, MINNEAPOLIS, MN 55404
(612) 813-6295
(612) 813-6949
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1056053
MN
363LN0000X
Neonatal Nurse Practitioner
Primary
R1056053
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
R1056053
MN
Other
Enumeration date
12/22/2006
Last updated
03/11/2021
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