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NPI Code Detail

MEDICARE: MS. SANDRA LEE-HOEFS ANDERSON NURSE PRACTITIONER

MEDICARE: MS. SANDRA LEE-HOEFS ANDERSON NURSE PRACTITIONER
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
1363LW0102XWomen's Health Nurse PractitionerR070602-9MN

General Provider Information

NPI Number : 1174692305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA LEE-HOEFS ANDERSON NURSE PRACTITIONER
Provider Business Mailing Address
First Line : PO BOX 46341
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3041
Country : US
Telephone Number : 952-944-2885
Fax Number :
Provider Business Practice Location Address
First Line : 671 VANDALIA ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55114-1312
Country : US
Telephone Number : 651-696-5672
Fax Number : 651-696-5543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 03/29/2026

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