Kassandra Elizabeth Anderson, FNP-C | |
240 Willow St, Tyler, MN 56178-1201 | |
(507) 247-5521 | |
Not Available |
Full Name | Kassandra Elizabeth Anderson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 240 Willow St, Tyler, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619626652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9047 (Minnesota) | Primary |
Entity Name | Avera Tyler |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20170630001868 |
Entity Name | Avera Granite Falls |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
Mailing Address | Practice Location Address |
---|---|
Kassandra Elizabeth Anderson, FNP-C 203 Maye St, Tyler, MN 56178-9490 Ph: (605) 838-7118 | Kassandra Elizabeth Anderson, FNP-C 240 Willow St, Tyler, MN 56178-1201 Ph: (507) 247-5521 |
Candice Lou Vanderplaats, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Willow Street, Tyler, MN 56178 Phone: 507-247-5921 Fax: 507-247-5184 | |
Travis Erickson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 240 Willow St, Tyler, MN 56178 Phone: 507-247-5521 |