Individual
CASEY JEAN ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 EATON RD, GREEN BAY, WI 54311-6830
(920) 712-6567
Mailing address
1353 LINDALE LN, GREEN BAY, WI 54313-5653
(920) 712-6567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232545-30
WI
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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