Individual
MARY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1207 2ND ST NW APT 101, WAUKON, IA 52172-1020
(563) 419-4709
Mailing address
1207 2ND ST NW APT 101, WAUKON, IA 52172-1020
(563) 419-4709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12050
MN
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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