Most Relevant Information
Provider Data
| NPI Number: | 1003500653 |
| Provider Name: | CARRISSA LEE ANDERSON CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 2432155 |
Most Important Dates
| Enumeration Date: | 06/06/2023 |
| Last Updated: | 09/13/2023 |
Provider Practice Location
200 1ST ST SW
ROCHESTER
MN
559050001
Practice Location Phone/Fax
| Phone: | 5072842511 |
| Fax: |
Provider Mailing Location
200 1ST ST SW
ROCHESTER
MN
559050001
Provider Mailing Phone/Fax
| Phone: | 5072842511 |
| Fax: |