Maria Anderson, RN

Individual provider Active NPI Registered Nurse · Minneapolis, MN

NPI 1609088095 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609088095
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R1412558 (MN)
Practice address
433 S 7TH St
Minneapolis, MN 55415-1626
Phone
(612) 305-0972
NPI assigned
May 5, 2007
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R1412558MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R1412558 MN Yes

Addresses

Primary practice location

433 S 7TH St
Minneapolis, MN 55415-1626

Mailing address

8729 Yalta St NE
Blaine, MN 55014-4079
Phone (763) 425-3537

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.