| Doctor Name: | KARA ELIZABETH ANDERSON |
| NPI Number: | 1962441477 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 200500676822 |
| Business Practice Address: | 1101 Moulton And Parsons Drive St James, MN - 560810460 |
| Business Phone Number: | 5073753391 |
| Business Fax Number: | 5073758635 |
| Mailing Address: | Po Box 460, 1101 Moulton And Parsons Drive ST JAMES |
| State: | MN |
| Postal Code: | 560810460 |
| Phone Number: | 5073753391 |
| Fax Number: | 5073758635 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 11/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200500676822 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |