IndividualActive
Mary Andersen, APRN, CNS, MSN
NPI 1033285564 · Clinical Nurse Specialist · Eden Prairie, MN
Provider details
- NPI number
- 1033285564
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CNS, MSN
- Sex
- Female
- Sole proprietor
- Yes
- License
- R119098 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist364SP0807XLicense R119098 (MN)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11800 Singletree Ln
Suite 204
Eden Prairie, MN 55344-5328
Phone: (952) 322-8532
Approximate (ZIP-level) locationGet directions
Mailing address
11800 Singletree Ln Ste 204
Eden Prairie, MN 55344-5397
Additional practice locations (1)
- 1385 Mendota Heights Rd Ste 200Mendota Heights, MN 55120-1289Phone: (952) 322-8532Fax: (952) 322-8513
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.