Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shayla Anderson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679828461

Dr. Shayla Anderson, MD is a Student in an Organized Health Care Education/Training Program in St Louis Park, Minnesota. Works from 2 locations. Licensed in Illinois and Minnesota.

Licensed in
IL, MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 883-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (708) 684-3296

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 62272 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence AC3890313-T060 (IL)

Record details

NPI number1679828461
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 21, 2022
Certification dateMarch 12, 2021

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