Individual
VERONICA L SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8938
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8938
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15317-33
WI
363LF0000X
Family Nurse Practitioner
15317-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194566828
—
WI
Enumeration date
06/05/2024
Last updated
07/30/2024
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