Healthcare Provider Details

I. General information

NPI: 1316178379
Provider Name (Legal Business Name): KAREN KAY SCHENDEL ANDERSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8170 33RD AVE S
BLOOMINGTON MN
55425-4516
US

IV. Provider business mailing address

PO BOX 1309 MAIL STOP 26602G
MINNEAPOLIS MN
55440-1309
US

V. Phone/Fax

Practice location:
  • Phone: 952-883-7118
  • Fax: 952-883-7929
Mailing address:
  • Phone: 952-883-7118
  • Fax: 952-883-7929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR0945673
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: