Individual provider · Type 1 NPI

Bruce Thor Anderson, CNP

Nurse Practitioner · Woodbury, MN

NPI number 1649481698 Active

Practice location

6025 Lake Road, Suite 110
Woodbury, MN 55125-1709

Fax (651) 735-1827

Mailing address

2550 University Ave W Ste 110N
St. Paul, MN 55114-2001

Other practice locations

  • 6025 Lake Road, Suite 110, Woodbury, MN 55125-1709 · (651) 735-7414

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X057335 (IA)
Nurse Practitioner Primary 363L00000XR 228559-3 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1649481698

Bruce Thor Anderson, CNP's National Provider Identifier is 1649481698, issued on May 24, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Woodbury, MN. The record was last updated on Nov 29, 2017.