Healthcare Provider Details

I. General information

NPI: 1457271702
Provider Name (Legal Business Name): ANNA LYDIA ACHTER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 DELLWOOD ST S
CAMBRIDGE MN
55008-1917
US

IV. Provider business mailing address

433 S 7TH ST APT 2001
MINNEAPOLIS MN
55415-1642
US

V. Phone/Fax

Practice location:
  • Phone: 763-689-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: