| Bruce Thor Anderson, CNP | |
|
6025 Lake Road, Suite 110, Woodbury, MN 55125-1709 | |
| (651) 735-7414 | |
| (651) 735-1827 |
| Full Name | Bruce Thor Anderson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 6025 Lake Road, Woodbury, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649481698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 057335 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | R 228559-3 (Minnesota) | Primary |
| Entity Name | Minnesota Oncology Hematology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528035995 PECOS PAC ID: 6709799752 Enrollment ID: O20031106000626 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Thor Anderson, CNP 2550 University Ave W Ste 110n, Saint Paul, MN 55114-2001 Ph: (651) 602-5309 | Bruce Thor Anderson, CNP 6025 Lake Road, Suite 110, Woodbury, MN 55125-1709 Ph: (651) 735-7414 |
Heidi Lee Brown, FNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7650 Currell Blvd Ste 330, Woodbury, MN 55125 Phone: 651-738-7800 Fax: 651-738-9501 | |
Michelle Garay, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 659 Bielenberg Dr Ste 100, Woodbury, MN 55125 Phone: 952-903-1329 Fax: 651-259-9780 | |
Laurie Geddes, MS, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-259-9750 | |
Ogechukwu Ugwu, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2658 Brittany Ln, Woodbury, MN 55125 Phone: 651-795-9209 | |
Tamara Tew, APRN, CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-259-9750 | |
Morgan Borine, MA, MS, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Bielenberg Dr Ste 180, Woodbury, MN 55125 Phone: 612-225-4141 | |
Marcy J Bents, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0100 |