Doctor Name: | DR. PATRICIA ANDERSON |
NPI Number: | 1124429089 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, DNP |
License Number: | R 137200-9 |
Business Practice Address: | 625 Union St Ne Chatfield, MN - 559231054 |
Business Phone Number: | 5074212495 |
Business Fax Number: | |
Mailing Address: | 625 Union St Ne, CHATFIELD |
State: | MN |
Postal Code: | 559231054 |
Phone Number: | 5074212495 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2014 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | R 137200-9 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |