Individual
MS. COLLEEN HELENE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2623 N 89TH ST, WAUWATOSA, WI 53226-1807
(414) 777-1533
Mailing address
2623 N 89TH ST, WAUWATOSA, WI 53226-1807
(414) 777-1533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83126-030
WI
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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