David Anderson, RN

Individual provider Active NPI Registered Nurse · Minneapolis, MN

NPI 1073387601 · NPPES record last updated Nov 14, 2023

Key facts

NPI
1073387601
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
2496875 (MN)
Practice address
500 Harvard St SE FL 7
Minneapolis, MN 55455-0363
Phone
(612) 273-3072
NPI assigned
Nov 14, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2496875MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2496875 MN Yes

Addresses

Primary practice location

500 Harvard St SE FL 7
Minneapolis, MN 55455-0363

Mailing address

500 Harvard St SE FL 7
Minneapolis, MN 55455-0363

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.