Andersen, Mary Margaret

Andersen, Mary Margaret is an sole proprietor health care provider with primary practice located at 11800 Singletree Ln Suite 204, Eden Prairie MN 55344-5328. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Andersen, Mary Margaret can be contacted via phone (952) 322-8532.

Contact Information

Primary practice address
11800 Singletree Ln Suite 204 Eden Prairie MN 55344-5328
Phone: (952) 322-8532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X R119098 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R119098 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R119098 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 79 Minnesota

Profile Details

NPI number 1033285564
LBN Legal business name Andersen, Mary Margaret
Credentials APRN, CNS, MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Mar 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033285564 NPPES
Minnesota Other 33G27AN BLUECROSS BLUESHIELD
Minnesota Other 41-2001259 BLUECROSS BLUESHIELD
Minnesota Other 62-51410 BLUECROSS BLUESHIELD
Minnesota Other 990991009372 BLUECROSS BLUESHIELD
Minnesota Other 12291815 BLUECROSS BLUESHIELD
Minnesota Other 77745 BLUECROSS BLUESHIELD
Minnesota MEDICAID 588755100 BLUECROSS BLUESHIELD
Minnesota Other 150212 BLUECROSS BLUESHIELD
Minnesota Other 457962 BLUECROSS BLUESHIELD
Minnesota Other 0411805759 BLUECROSS BLUESHIELD
Minnesota Other 1134583 BLUECROSS BLUESHIELD

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