Individual
ANDREA JEAN LANGLEY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
230969
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
13063
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326783630
—
WI
Enumeration date
05/02/2022
Last updated
04/18/2025
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