Christina K Anderson
Dermatologist
1200 6th Ave N
Saint Cloud
, Minnesota 56303-2735
Christina K Anderson
Dermatologist
1200 6th Ave N
Saint Cloud
, Minnesota 56303-2735
(320) 240-2118
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Christina K Anderson
- 1200 6th Ave N
- Saint Cloud, MN
- Zip : 56303-2735
- Fax : (320) 240-2118
- Phone : (320) 252-5131
Second Address
- Christina K Anderson
- 1200 6th Ave N
- Saint Cloud, MN
- Zip : 56303-2735
- Fax : (320) 240-2118
- Phone : (320) 252-5131
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 44506 | MN |
National Provider Identifier
| NPI | 1053313692 |
|---|---|
| Provider Name | Christina K Anderson |
| First Address | Saint Cloud, MN 56303-2735 |
| Second Address | Saint Cloud, MN 56303-2735 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2005 |
| Last Update Date | 22/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0300206 | MEDICA HEALTH PLANS (01) | |
| 07 25 2002 | MMSI (01) | |
| 070017209 | RR MEDICARE C11369 (01) | |
| 1031188 | PREFERRED ONE (01) | |
| 116094000 | (05) | MN |
| 116094000 | MEDICAL ASSISTANCE (01) | |
| 142131 | U CARE (01) | |
| 1652898 | ARAZ GROUP AMERICA'S PPO (01) | |
| 260J8AN | BCBS (01) | |
| H62100 | (02) | |
| HP35615 | HEALTH PARTNERS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.