Individual
KATIE MARYL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7201 OHMS LN STE 150, EDINA, MN 55439-2156
(605) 450-8432
Mailing address
7300 GALLAGHER DR APT 202, EDINA, MN 55435-3152
(605) 450-8432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11052
MN
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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