Individual
MALLORY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
N4959 MAPLE AVE, RIB LAKE, WI 54470-9727
(715) 965-6993
Mailing address
N4959 MAPLE AVE, RIB LAKE, WI 54470-9727
(715) 965-6993
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
150053
WI
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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