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

TARA ANDERSON

Active Sole Proprietor

2279C0205X · SAVAGE, MN

Registration Details

NPI Number
1225553944
Provider Type
Individual
Gender
Female
NPI Issued
Aug 3, 2017 (8.717077608292 yrs)
Last Updated
Jul 21, 2022
Sole Proprietor
Yes

Practice Information

Address
7611 PARKRIDGE WAY
SAVAGE, MN, 553781747
Browse MN providers · Browse ZIP 55378
Phone
8084391577
Primary Specialty
2279C0205X
2279C0205X
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.