Individual
MOLLY LYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1005 SPRING CITY DR, WAUKESHA, WI 53186-5934
(262) 301-2020
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15565
WI
363LW0102X
Women's Health Nurse Practitioner
209015302
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291312
—
WI
Enumeration date
12/24/2016
Last updated
11/25/2024
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