NPI Profile for BRENDA ANDERSON in WYOMING, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1609632009 |
|
| Status | Active | |
| Credentials | MSN, APRN, CNP | |
| Entity | Individual | |
| Enumeration date | 02/23/2024 | |
| Last updated | 04/03/2026 - About 2 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRENDA ANDERSON
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