Andrews, Wanda W
Andrews, Wanda W is an individual health care provider with primary practice located at 13560 Wayzata Blvd , Minnetonka MN 55305-1850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Andrews, Wanda W can be contacted via phone (763) 257-8100.Contact Information
Primary practice address
13560 Wayzata Blvd
Minnetonka MN 55305-1850
Phone: (763) 257-8100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9291 | Minnesota |
Profile Details
NPI number | 1649369984 |
---|---|
LBN Legal business name | Andrews, Wanda W |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2006 |
Last updated | Jul 13th, 2007 - about 17 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 | 1649369984 | NPPES |
Minnesota | MEDICAID | 291372100 |
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