Individual
MS. R M H ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 SKYWOOD LN NE, FRIDLEY, MN 55421-1312
(763) 208-0604
Mailing address
1365 SKYWOOD LN NE, FRIDLEY, MN 55421-1312
(763) 208-0604
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R 71046-8
MN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R 71046-8
MN
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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