Ivy Anderson
Registered Nurse, General Practice in Minneapolis, MN. Individual provider (NPI-1).
NPI number1639012974
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1639012974
- Entity type
- Individual (NPI-1)
- Name
- Ivy Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2026
- Certification date
- Apr 11, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 2520735 | MN | Yes |
Practice location
1 Veterans DrMinneapolis, MN 55417-2309
Phone 612-725-2000
Mailing address
1 Veterans DrMinneapolis, MN 55417-2309
Phone 612-725-2000
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