| Doctor Name: | MELEA RAE ANDERSON |
| NPI Number: | 1154382653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | R-132282-6 |
| Business Practice Address: | 3000 N Chestnut St Suite 110 Chaska, MN - 553183054 |
| Business Phone Number: | 9523613999 |
| Business Fax Number: | 9523613995 |
| Mailing Address: | Po Box 43, Mr 10809 MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554400043 |
| Phone Number: | 6122624813 |
| Fax Number: | 6122624194 |
| NPI Enumeration Date: | 04/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | R-132282-6 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |