Individual
TRACY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4225 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
(763) 302-4346
Mailing address
4225 GOLDEN VALLEY ROAD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
(763) 302-4346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-125701-4
MN
Other
Enumeration date
05/16/2008
Last updated
11/30/2011
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