MS. TAVIA ANDERSON

Driver

Active Individual
NPI: 1053709675

Practice Address

2400 W 102ND ST APT 101
Bloomington, MN 55431

Phone: (612) 203-4535

Specialties

Specialty Code Primary License
Social Worker 104100000X No -
Case Manager/Care Coordinator 171M00000X No -
Home Health 251E00000X No -
Driver 172A00000X Yes J430163453007 (MN)
Counselor 101Y00000X No -
Counselor - Professional 101YP2500X No -

Frequently Asked Questions

NPI 1053709675 is the National Provider Identifier for MS. TAVIA ANDERSON, a Driver provider located in Bloomington, MN. This NPI was enumerated on January 5, 2015.
MS. TAVIA ANDERSON practices at 2400 W 102ND ST APT 101, Bloomington, MN 55431.

Quick Facts

NPI
1053709675
Type
Individual
Enumerated
Jan 5, 2015
Last Updated
Mar 17, 2021

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