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General NPI Number Information
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NPI Number | 1922949445
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Entity Type | Individual
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Provider Name | ANNIE MAGNUSSON
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Gender | Female
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 2805 CAMPUS DR
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City | PLYMOUTH
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State | MN
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Zip | 55441-2676
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Country | US
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Telephone | 763-577-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 WINNETKA AVE N APT 506
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City | GOLDEN VALLEY
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State | MN
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Zip | 55427-3688
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Country | US
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Telephone | 218-770-3229
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Fax |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 13238
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License Number State | MN
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