Provider Demographics
NPI:1598786832
Name:ANDREWS, ALICIA J (NP)
Entity Type:Individual
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First Name:ALICIA
Middle Name:J
Last Name:ANDREWS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:2104 NORTHDALE BLVD NW
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-3028
Mailing Address - Country:US
Mailing Address - Phone:763-537-6000
Mailing Address - Fax:763-537-6666
Practice Address - Street 1:9550 UPLAND LN N
Practice Address - Street 2:SUITE 100
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-4481
Practice Address - Country:US
Practice Address - Phone:763-537-6000
Practice Address - Fax:763-537-6666
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2009-03-31
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Provider Licenses
StateLicense IDTaxonomies
MNR130873-0363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P28388Medicare UPIN