Individual
KITTERY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2498
(701) 232-3241
Mailing address
1207 10TH AVENUE CIR, BARNESVILLE, MN 56514-4015
(701) 270-7757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200274
ND
164W00000X
Licensed Practical Nurse
L17376
ND
Other
Enumeration date
07/21/2021
Last updated
09/03/2024
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