MEDICARE: ANITA MARIE HANDEVIDT RN CNP CNS

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
1	364S00000X	Clinical Nurse Specialist	R0902409	MN
2	363L00000X	Nurse Practitioner	R0902409	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	374M2HA	OTHER	MN	BCBS
3	164160	OTHER	MN	UCARE

General Provider Information

NPI Number	:	1891705968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA MARIE HANDEVIDT RN CNP CNS

Provider Business Mailing Address
First Line	:	117 S SPRING ST
Second Line	:	PO BOX 686
City	:	LUVERNE
State	:	MN
Zip	:	56156-1916
Country	:	US
Telephone Number	:	507-283-9511
Fax Number	:	507-283-9514

Provider Business Practice Location Address
First Line	:	401 WEST ST
Second Line	:
City	:	JACKSON
State	:	MN
Zip	:	56143-1219
Country	:	US
Telephone Number	:	507-847-2423
Fax Number	:	507-847-2422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	02/03/2017

Similar Medicare Providers

1629362124 — BRADLEY BONNETT
Practice Location Address:

401 WEST ST STE 115
JACKSON, MN
56143-1219

Practice Phone: 507-847-2423
Practice Fax:

1023462603 — CARRIE ROCHELLE ANDERSON MSED., LPC, NCC
Practice Location Address:

401 WEST ST , SUITE 0115
JACKSON, MN
56143-1219

Practice Phone: 507-847-2423
Practice Fax: 507-847-2422

1720564073 — HUBERT PHYSICAL THERAPY LLC
Practice Location Address:

122 SOUTH JACKSON STREET
EVANS CITY, PA
16033-1219

Practice Phone: 412-551-9576
Practice Fax:

1710058425 — JOSHUA HUBERT DPT
Practice Location Address:

122 SOUTH JACKSON STREET
EVANS CITY, PA
16033-1219

Practice Phone: 412-551-9576
Practice Fax:

1992708325 — IJAK-UYIRE INC
Practice Location Address:

77 02 21ST AVE
JACKSON HEIGHTS, NY
11370-1219

Practice Phone: 718-728-6878
Practice Fax: 718-728-6843

1710022959 — JACKSON PUBLIC SCHOOLS DBA GALLOWAY CLINIC
Practice Location Address:

186 IDLEWILD ST
JACKSON, MS
39203-1219

Practice Phone: 601-360-2214
Practice Fax: 601-360-2212

Directions to “ ANITA MARIE HANDEVIDT RN CNP CNS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.