Emersen Anderson
Individual provider Active NPI Specialist · Alexandria, MN
NPI 1083376818 · NPPES record last updated Oct 8, 2021
Key facts
- NPI
- 1083376818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1910 Aga Dr
Alexandria, MN 56308-1796 - Phone
- (320) 762-5411
- Fax
- (218) 287-5928
- NPI assigned
- Oct 8, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions Behavioral Healthcare Professionals, PC | Current |
Accepting new patients |
Locations
1547 30th Ave S
Moorhead, MN 56560
Phone 21828743381113
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
1910 Aga Dr
Alexandria, MN 56308-1796
Mailing address
1547 30TH Ave S
Moorhead, MN 56560-5149
Phone (218) 287-4338
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.