NPI 1467967448 · live from the CMS NPI Registry
Magdalene Marie Anderson, NNP
Nurse Practitioner, Neonatal in Minneapolis, MN. National Provider Identifier 1467967448, active.
NPI record
| NPI | 1467967448 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Neonatal 363LN0000X |
| Practice location | 2525 Chicago Ave, Minneapolis, MN 55404 |
| Practice phone | 612-813-6000 |
| Mailing address | 35450 Golden Eagle Ct, Whitewater, CO 81527 |
| Enumerated | December 12, 2017 |
| Last updated | January 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Neonatal-Perinatal Medicine | 2080N0001X | 10423781-4405 (UT) |
| Nurse Practitioner, Neonatal primary | 363LN0000X | 7016 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.