Individual provider · Type 1 NPI

Ivy Anderson

General Practice Registered Nurse · Minneapolis, MN

NPI number 1639012974 Active

Practice location

1 Veterans Dr
Minneapolis, MN 55417-2309

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X2520735 (MN)

General Practice Registered Nurse: Definition to come...

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About NPI 1639012974

Ivy Anderson's National Provider Identifier is 1639012974, issued on Apr 13, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 13, 2026.