Individual
BETHANY ANDERSON GANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
115 16TH AVE NW, ROCHESTER, MN 55901-0347
(507) 292-7070
Mailing address
4144 2ND PL NW, ROCHESTER, MN 55901-7594
(651) 983-5564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7087
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7087
MN APRN LICENSE
MN
Enumeration date
12/06/2019
Last updated
12/06/2019
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