Individual provider · Type 1 NPI
Tavia Lynne Anderson
Driver · Bloomington, MN
NPI number
1053709675
Active
Practice location
2400 W 102nd St Apt 101
Bloomington, MN 55431-3359
Fax (952) 217-4427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Driver Primary | 172A00000X | J430163453007 (MN) |
| Counselor | 101Y00000X | None listed |
| Professional Counselor | 101YP2500X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Bloomington
About NPI 1053709675
Tavia Lynne Anderson's National Provider Identifier is 1053709675, issued on Jan 5, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bloomington, MN. The record was last updated on Mar 17, 2021.