Individual provider · Type 1 NPI

Anna Eidum

Student in an Organized Health Care Education/Training Program · Lilydale, MN

NPI number 1265374037 Active

Practice location

991 Sibley Memorial Hwy Ste 207
Lilydale, MN 55118-5116

Call (952) 443-4600 Map

Fax (952) 443-4604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

Other student in an organized health care education/training program providers in Lilydale

See all in Lilydale →

About NPI 1265374037

Anna Eidum's National Provider Identifier is 1265374037, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lilydale, MN. The record was last updated on Apr 8, 2026.