Provider Demographics
NPI:1356630164
Name:ANDREE, ERNA MARI (RN)
Entity Type:Individual
Prefix:MS
First Name:ERNA
Middle Name:MARI
Last Name:ANDREE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1741 15TH ST NW
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-8755
Mailing Address - Country:US
Mailing Address - Phone:218-751-6553
Mailing Address - Fax:218-751-1846
Practice Address - Street 1:1741 15TH ST NW
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-8755
Practice Address - Country:US
Practice Address - Phone:218-751-6553
Practice Address - Fax:218-751-1846
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR181709-8163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse