Individual
MRS. DONNIE JOANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 4TH AVE N, FERGUS FALLS, MN 56537-1084
(218) 998-3778
(218) 998-3187
Mailing address
31661 ROBINHOOD LANE, PEQUOT LAKES, MN 56472
(218) 568-5262
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L66149-4
MN
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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