Individual
SALLY ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, APNP
Contact information
Practice address
W6981 PARKVIEW DR, GREENVILLE, WI 54942-8034
(920) 882-2400
Mailing address
W5505 MILE LONG DR, APPLETON, WI 54915-5220
(920) 851-6114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5543-33
WI
Other
Enumeration date
11/06/2013
Last updated
04/16/2021
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