Lynn Ella Anderson
Individual provider Active NPI Home Health Aide · Milaca, MN
NPI 1376003293 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1376003293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- HE-01084-04 (MN)
- Practice address
- 9981 90TH Ave
Milaca, MN 56353-4502 - Phone
- (320) 267-0897
- NPI assigned
- Mar 25, 2019
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide |
374U00000X | HE-01084-04 | MN | Yes |
Addresses
Primary practice location
9981 90TH Ave
Milaca, MN 56353-4502
Mailing address
9981 90TH Ave
Milaca, MN 56353-4502
Phone (320) 267-0897
Other practice location 1
9981 90th Ave
Milaca, MN 56353-4502
Phone (320) 267-0897
Other providers in Milaca, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. 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.