BRUCE THOR ANDERSON CNP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1649481698- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CNP
- Status
- Active
Contact & Location
- Address
- 6025 LAKE ROAD SUITE 110, WOODBURY, MN, 551251709
- Phone
- (651) 735-7414
- Fax
- (651) 735-1827
Specialties & Taxonomies
Nurse Practitioner
License: IA #057335
Nurse Practitioner
Primary License: MN #R 228559-3