Andrea Jane Beidelman
Student in an Organized Health Care Education/Training Program in Elk River, MN. Individual provider (NPI-1).
NPI number1508306465
StatusActive
Last updated in NPPESFeb 26, 2017
Details
- NPI
- 1508306465
- Entity type
- Individual (NPI-1)
- Name
- Andrea Jane Beidelman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2017
- Last updated
- Feb 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MN | Yes |
Practice location
19631 Lander St NwElk River, MN 55330-8911
Phone 763-244-7795
Mailing address
19631 Lander St NwElk River, MN 55330-8911
Phone 763-244-7795
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