NPI 1023502812

Nicole Anderson

Practitioner Specialist Moorhead, MN

Practice location

Address: 891 Belsly Blvd, Moorhead, MN 56560-5055
Phone: (218) 287-4338

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1023502812
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2018
Record last updated: 15 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.