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Contact Information

MARIDEL D ANDERSON, BSN, RN, CWOCN
499 8TH ST NE
CROSBY, MN56441-1550
 Phone: 612-227-4095
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for MARIDEL D ANDERSON · (Female)

NPI Number 1053036517
Status Active
Credentials BSN, RN, CWOCN
Entity Individual
Enumeration date 10/06/2022
Last updated 10/06/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 220404
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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