IndividualActive
Anne Lillyblad, FNP
NPI 1245606961 · Family Nurse Practitioner · Blaine, MN
Provider details
- NPI number
- 1245606961
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- R174346-3 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
10705 Town Square Dr Ne
Ste 100
Blaine, MN 55449-8184
Phone: (763) 236-5400
Approximate (ZIP-level) locationGet directions
Mailing address
4457 118th Ave Ne
Blaine, MN 55449-5857
Registry dates
- Enumerated
- 2015-08-17
- 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.