Amy Eileen Anderson, CNP
Individual provider Active NPI Family Nurse Practitioner · Eagan, MN
NPI 1255964458 · NPPES record last updated Feb 16, 2020
Key facts
- NPI
- 1255964458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 6902 (MN)
- Practice address
- 1440 Duckwood Dr
Eagan, MN 55122-1451 - Phone
- (877) 915-7243
- NPI assigned
- Feb 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6902 | MN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6902 | MN | Yes |
Addresses
Primary practice location
1440 Duckwood Dr
Eagan, MN 55122-1451
Mailing address
7228 Monardo LN
Minneapolis, MN 55435-4010
Phone (952) 807-2851
Other providers in Eagan, MN
- Ayman Amin
- Salma Yasir Amoud
- Andrew Wade Amundson
- Lynne Marlene Amundson
- Arlow (Bill) William Andersen
- Carley Anderson
- Jeff Bruce Anderson
- Jeffrey Lorin Anderson
- Melissa Anderson
- Sheridan M Anderson
All providers in Eagan, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2020. 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.