Individual
ELIZABETH KAY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 BIRCH ST E, FREDERIC, WI 54837-8985
(715) 553-3158
Mailing address
PO BOX 487, FREDERIC, WI 54837-0487
(715) 553-3158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1179150
MN
Other
Enumeration date
11/08/2020
Last updated
11/23/2020
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