Alicia Marie Anderson
Nurse Practitioner, Family in Saint Paul, MN. Individual provider (NPI-1).
NPI number1245875111
StatusActive
Last updated in NPPESMay 13, 2024
Details
- NPI
- 1245875111
- Entity type
- Individual (NPI-1)
- Name
- Alicia Marie Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2019
- Certification date
- May 3, 2024
- Last updated
- May 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7068 | MN | Yes |
Practice location
640 Jackson StSaint Paul, MN 55101-2502
Phone 651-254-4887
Mailing address
7674 Upper 171st St WLakeville, MN 55044-7418
Phone 507-995-4827
Other practice locations
800 Medical Center Dr
Fairmont, MN 56031-4575
Fairmont, MN 56031-4575
Phone 507-238-8100
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