Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
NANCY R ANDERSON CPNP
NPI 1083677827
Nurse Practitioner - Pediatrics in Maplewood, MN
Active since April 11, 2006
1655 BEAM AVE, SUITE 302, MAPLEWOOD, MN 55109(651) 232-7800(651) 232-7826 Get Directions Write a Review
About Nancy R Anderson Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANCY R ANDERSON CPNP (NPI 1083677827) is an individual pediatrics provider in Maplewood, Minnesota, licensed in Minnesota (R079341-4) and active in the NPI registry since April 2006.
NPPES Registry Identity
NPI1083677827
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNANCY R ANDERSONCredential: CPNP
Location Address1655 BEAM AVE, SUITE 302Maplewood, MN 55109-1163
Mailing Address1655 Beam Ave, Suite 302Maplewood, MN 55109-1163 · (651) 232-7800 · Fax (651) 232-7826
Phone(651) 232-7800
Fax(651) 232-7826
Sole ProprietorNo
Enumeration DateApril 11, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1083677827 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · R079341-4
1655 BEAM AVE, Maplewood, MN 55109
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083677827, enumerated as an "individual" on April 11, 2006.
The provider is located at 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 and the phone number is (651) 232-7800.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
