Amy Anderson, REGISTERED NURSE

Individual provider Active NPI Registered Nurse · Saint Peter, MN

NPI 1962883629 · NPPES record last updated Jun 17, 2015

Key facts

NPI
1962883629
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R-156904-5 (MN)
Practice address
39870 County Road 20
Saint Peter, MN 56082-4331
Phone
(507) 381-4566
NPI assigned
Jun 17, 2015
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

State licenses

LicenseStateTypeSpecialty
R-156904-5MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-156904-5 MN Yes

Addresses

Primary practice location

39870 County Road 20
Saint Peter, MN 56082-4331

Mailing address

39870 County Road 20
Saint Peter, MN 56082-4331
Phone (507) 381-4566

Other providers in Saint Peter, MN

All providers in Saint Peter, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.