Individual
MS. ANNE L ANDERSON
Active
Individual
MS. ANNE L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
944
WI
363AM0700X
Medical Physician Assistant
Primary
944
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005806261B
HUMANA
—
05
—
1285685701
—
WI
05
—
42999900
—
WI
Enumeration date
05/12/2006
Last updated
01/23/2016
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