Carolyn Marie Anderson, RN
Individual provider Active NPI Case Manager/Care Coordinator · Bloomington, MN
NPI 1619696952 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1619696952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 8170 33Rd Ave S
Bloomington, MN 55425-4516 - Phone
- (952) 883-7346
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
8170 33Rd Ave S
Bloomington, MN 55425-4516
Mailing address
8170 33Rd Ave S
Bloomington, MN 55425-4516
Other providers in Bloomington, MN
- Adrian Anderson
- Alii Anderson
- Amanda Anderson
- Ana Katherine D Anderson
- Caleb A Anderson
- Crystal M Anderson
- David Ross Anderson
- Ellie Anderson
- Jana Anderson
- Kaitlin Patricia Anderson
All providers in Bloomington, MN · Case Manager/Care Coordinator in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. 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.