Andersen, Mary Margaret
Andersen, Mary Margaret is an sole proprietor health care provider with primary practice located at 11800 Singletree Ln Suite 204, Eden Prairie MN 55344-5328. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Andersen, Mary Margaret can be contacted via phone (952) 322-8532.Contact Information
Primary practice address
11800 Singletree Ln Suite 204
Eden Prairie MN 55344-5328
Phone: (952) 322-8532
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | R119098 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | R119098 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | R119098 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 79 | Minnesota |
Profile Details
NPI number | 1033285564 |
---|---|
LBN Legal business name | Andersen, Mary Margaret |
Credentials | APRN, CNS, MSN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 27th, 2006 |
Last updated | Mar 11th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033285564 | NPPES |
Minnesota | Other | 33G27AN | BLUECROSS BLUESHIELD |
Minnesota | Other | 41-2001259 | BLUECROSS BLUESHIELD |
Minnesota | Other | 62-51410 | BLUECROSS BLUESHIELD |
Minnesota | Other | 990991009372 | BLUECROSS BLUESHIELD |
Minnesota | Other | 12291815 | BLUECROSS BLUESHIELD |
Minnesota | Other | 77745 | BLUECROSS BLUESHIELD |
Minnesota | MEDICAID | 588755100 | BLUECROSS BLUESHIELD |
Minnesota | Other | 150212 | BLUECROSS BLUESHIELD |
Minnesota | Other | 457962 | BLUECROSS BLUESHIELD |
Minnesota | Other | 0411805759 | BLUECROSS BLUESHIELD |
Minnesota | Other | 1134583 | BLUECROSS BLUESHIELD |
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