Individual
KRISTIAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
401 E INDUSTRIAL DR UNIT 627, HARTLAND, WI 53029-0820
(414) 850-7586
Mailing address
3581 S 51ST ST, GREENFIELD, WI 53220-1545
(715) 370-1691
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
241106-30
WI
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
14649-33
WI
Other
Enumeration date
08/21/2023
Last updated
10/17/2023
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