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Justin Andreas Anderson, RN,DNP, CRNA

Nurse Anesthetist, Certified Registered in Saint Paul, MN. Individual provider (NPI-1).

NPI number1346658218
StatusActive
Last updated in NPPESSep 21, 2026

Details

NPI
1346658218
Entity type
Individual (NPI-1)
Name
Justin Andreas Anderson
Credential
RN,DNP, CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Jul 23, 2014
Certification date
Sep 21, 2026
Last updated
Sep 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered1089MNYes
163W00000X Registered Nurse1832086MN

Practice location

640 Jackson St
Saint Paul, MN 55101-2595

Phone 651-254-3456

Mailing address

8170 33rd Ave S
Mailstop 21110q
Bloomington, MN 55425-4516

Phone 952-883-6000

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