Handevidt, Anita Marie

Handevidt, Anita Marie is an individual health care provider with primary practice located at 401 West St , Jackson MN 56143-1219. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Handevidt, Anita Marie can be contacted via phone (507) 847-2423.

Contact Information

Primary practice address
401 West St Jackson MN 56143-1219
Phone: (507) 847-2423
Fax: (507) 847-2422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R0902409 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R0902409 Minnesota

Profile Details

NPI number 1891705968
LBN Legal business name Handevidt, Anita Marie
Credentials RN CNP CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 3rd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891705968 NPPES
Minnesota MEDICAID 236135300
Minnesota Other 374M2HA
Minnesota Other 164160

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