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NPI Code Detail

MEDICARE: EMILY S. ANDERSON NP-C

MEDICARE:   EMILY S. ANDERSON  NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN-1928HI
2363LF0000XFamily Nurse PractitionerAP60165066WA
3363LF0000XFamily Nurse PractitionerNP-1019ID
4363LP0808XPsychiatric/Mental Health Nurse PractitionerNP-1019AID

General Provider Information

NPI Number : 1063727881
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY S. ANDERSON NP-C
Provider Business Mailing Address
First Line : 9900 BREN RD E
Second Line :
City : MINNETONKA
State : MN
Zip : 55343-9603
Country : US
Telephone Number : 591-971-6559
Fax Number :
Provider Business Practice Location Address
First Line : 500 ALA MOANA BLVD STE 7400
Second Line :
City : HONOLULU
State : HI
Zip : 96813-4902
Country : US
Telephone Number : 323-205-7088
Fax Number : 833-419-0181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2010
Last Update Date : 01/15/2026

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