Individual
REBECCA SUSAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
303 CATLIN ST LOWR LEVEL, BUFFALO, MN 55313-1947
(763) 682-5225
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2479921
MN
363LF0000X
Family Nurse Practitioner
Primary
11823
MN
Other
Enumeration date
04/16/2024
Last updated
07/24/2024
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