Individual
KARI MALIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2945 HAZELWOOD ST STE 220, MAPLEWOOD, MN 55109-1243
(651) 999-6800
Mailing address
16 WILLIAMSBURG BLVD, BLOOMSBURG, PA 17815-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10295
MN
363L00000X
Nurse Practitioner
SP022237
PA
Other
Enumeration date
08/28/2020
Last updated
06/19/2023
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