Anderson, Bruce Thor

Anderson, Bruce Thor is an individual health care provider with primary practice located at 6025 Lake Road Suite 110, Woodbury MN 55125-1709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Anderson, Bruce Thor can be contacted via phone (651) 735-7414.

Contact Information

Primary practice address
6025 Lake Road Suite 110 Woodbury MN 55125-1709
Phone: (651) 735-7414
Fax: (651) 735-1827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 057335 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R 228559-3 Minnesota

Profile Details

NPI number 1649481698
LBN Legal business name Anderson, Bruce Thor
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Nov 29th, 2017 - about 8 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.

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