Individual provider · NPI-1
Cynthia Marie Anderson, CPNP
Nurse Practitioner · Rochester, MN
NPI number1174801955
StatusActive
Last updated in NPPESDec 28, 2022
Details
- NPI
- 1174801955
- Entity type
- Individual (NPI-1)
- Name
- Cynthia Marie Anderson
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2011
- Certification date
- Dec 28, 2022
- Last updated
- Dec 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 779 | MN | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | R120277-1 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Other practice locations
2525 Chicago Ave
Minneapolis, MN 55404-4518
Minneapolis, MN 55404-4518
Phone 612-813-6117
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