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NPI 1477849222

NPI 1477849222 : LINDSAY MARIE ANDERSON PMHCNS-BC : SAINT CLOUD, MN

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General NPI Number Information
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    NPI Number           |    1477849222
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSAY MARIE ANDERSON PMHCNS-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2011
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    Last Update Date     |    11/03/2025
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Provider Practice Location Address
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    Address Line         |    1900 CENTRACARE CIR 
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    City                 |    SAINT CLOUD
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    State                |    MN
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    Zip                  |    56303-5000
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    Country              |    US
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    Telephone            |    320-229-4977
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    Fax                  |    320-656-7058
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Provider Business Mailing Address
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    Address Line         |    1406 6TH AVE N 
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    City                 |    SAINT CLOUD
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    State                |    MN
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    Zip                  |    56303-1900
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    Country              |    US
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    Telephone            |    320-251-2700
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    Fax                  |    320-656-7026
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    364SP0807X
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    Taxonomy Name        |    Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    R-168717-6
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    364SP0807X
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    Taxonomy Name        |    Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    CNS 0344
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    License Number State |    MN
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