Individual
JANE K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
814 SOUTH 3RD ST, MINNEAPOLIS, MN 55415-1208
(612) 888-9792
Mailing address
814 SOUTH 3RD ST, MINNEAPOLIS, MN 55415-1208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0835385
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
702542400
—
MN
Enumeration date
07/20/2005
Last updated
08/13/2018
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