Individual
ANN M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
302 WEST LAKE ST, FRIENDSHIP, WI 53934
(608) 339-3326
(608) 339-6057
Mailing address
PO BOX 10, FRIENDSHIP, WI 53934-0010
(608) 339-3326
(608) 339-6057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
67825
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002627
TOUCHPOINT
WI
01
—
12579
DEAN
WI
01
—
39080723691
UNITY
WI
05
—
43889700
—
WI
01
—
500005455
RAILROAD MEDICARE
WI
01
—
WI01E5
JOHN DEERE
WI
Enumeration date
11/03/2005
Last updated
06/24/2008
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