Andrews, Wanda W

Andrews, Wanda W is an individual health care provider with primary practice located at 13560 Wayzata Blvd , Minnetonka MN 55305-1850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Andrews, Wanda W can be contacted via phone (763) 257-8100.

Contact Information

Primary practice address
13560 Wayzata Blvd Minnetonka MN 55305-1850
Phone: (763) 257-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9291 Minnesota

Profile Details

NPI number 1649369984
LBN Legal business name Andrews, Wanda W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 13th, 2007 - about 19 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 1649369984 NPPES
Minnesota MEDICAID 291372100

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