Individual
NICOLE RAE ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1104 HAMMOND AVE, SUPERIOR, WI 54880-1654
(218) 348-5409
Mailing address
1104 HAMMOND AVE, SUPERIOR, WI 54880-1654
(218) 348-5409
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1132553
MN
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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