Individual
PATRICIA ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
25635 S BASS LAKE RD, WEBSTER, WI 54893-8648
(715) 866-8480
Mailing address
25635 S BASS LAKE RD, WEBSTER, WI 54893-8648
(715) 866-8480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 73032-5
MN
163WC1500X
Community Health Registered Nurse
R 73032-5
MN
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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