Search › Minnesota › 363AS0400X
Jordan Anderson, PA-C
NPI 1053066399 · on the registry since 2022
Practice
- Address
- 10150 Niagara Ln N # 100
Maple Grove, MN 55369 - Phone
- (224) 213-5886
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- TX, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota