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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY KATHLEEN ANDERSON, PA-C

Active

MARY KATHLEEN ANDERSON, PA-C is a Physician Assistant healthcare provider located in FRIDLEY, Minnesota. NPI 1013080316 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FRIDLEY, MN

Registration Details

NPI Number
1013080316
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2006 (19.717630245958 yrs)
Last Updated
Apr 3, 2012
License
10146 (MN)

Practice Information

Address
480 OSBORNE RD NE
FRIDLEY, MN, 554322773
Browse MN providers · Browse ZIP 55432
Phone
7637854500
Fax
7637853329
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FRIDLEY, MN

Name Credential NPI
MARGUERITE NANCY KIBIRA PAC 1497757470
MICHAEL CLIFFORD TCHIDA PAC 1265416432
AMY C LINDELL PA-C MPAS 1588638514
NATHAN PAUL GILLE OPA-C 1699793349
REBECCA ANN WEHRENBERG PA-C 1295841062
GAIL MARIE ARNOLD PA-C 1346342425
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.