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

MS. TAVIA LYNNE ANDERSON

Active Sole Proprietor

MS. TAVIA LYNNE ANDERSON is a Driver healthcare provider located in BLOOMINGTON, Minnesota. NPI 1053709675 is currently active in the NPPES registry. Verify at CMS.

Driver · BLOOMINGTON, MN

Registration Details

NPI Number
1053709675
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2015 (11.578161323633 yrs)
Last Updated
Mar 17, 2021
License
J430163453007 (MN)
Sole Proprietor
Yes

Practice Information

Address
2400 W 102ND ST APT 101
BLOOMINGTON, MN, 554313359
Browse MN providers · Browse ZIP 55431
Phone
6122034535
Fax
9522174427
Primary Specialty
Driver
172A00000X
Additional Specialty
Case Manager
Additional Specialty
Home Health
Additional Specialty
Driver
Additional Specialty
Counselor

Other Driver Providers in BLOOMINGTON, MN

Name Credential NPI
ADAM AFEY MOHAMED 1144000530
MR. ABDIFATAH OSMAN HUSSEIN 1740046671
MR. OMAR SHUKRI 1619733557
DEEQO MAHOMEED HASHI 1396539011
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.