NPI 1083677827 · live from the CMS NPI Registry
Nancy R Anderson, CPNP
Nurse Practitioner, Pediatrics in Maplewood, MN. National Provider Identifier 1083677827, active.
NPI record
| NPI | 1083677827 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1655 Beam Ave, Suite 302, Maplewood, MN 55109 |
| Practice phone | 651-232-7800 |
| Enumerated | April 11, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R079341-4 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.