Provider Demographics
NPI:1174692305
Name:ANDERSON, SANDRA LEE-HOEFS (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:LEE-HOEFS
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 46341
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3041
Mailing Address - Country:US
Mailing Address - Phone:952-944-2885
Mailing Address - Fax:
Practice Address - Street 1:33 S 5TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-1050
Practice Address - Country:US
Practice Address - Phone:612-332-2311
Practice Address - Fax:612-375-9567
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR070602-9363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health