Individual
MRS. ANDREA PAULINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2400 W 64TH ST, MINNEAPOLIS, MN 55423-1001
(612) 798-8330
(612) 861-1533
Mailing address
4708 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-3665
(612) 825-1230
(612) 861-1533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7683
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
683S6NE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/09/2007
Last updated
07/08/2007
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