| Doctor Name: | ANITA FLORENCE SUNDHOLM |
| NPI Number: | 1295174563 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C-FNP |
| License Number: | R 140335-0 |
| Business Practice Address: | 200 Bunker Hill Dr. Riverwood Healthcare Center Aitkin, MN - 564311865 |
| Business Phone Number: | 2189272157 |
| Business Fax Number: | 2189274130 |
| Mailing Address: | 200 Bunker Hill Dr., Riverwood Healthcare Center AITKIN |
| State: | MN |
| Postal Code: | 564311865 |
| Phone Number: | 2189272157 |
| Fax Number: | 2189274130 |
| NPI Enumeration Date: | 06/20/2013 |
| NPI Last Update Date: | 06/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R 140335-0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |