Individual
SARA ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2691 SHADE TREE LN, GREEN BAY, WI 54313
(920) 737-9687
Mailing address
2691 SHADE TREE LN, GREEN BAY, WI 54313
(920) 737-9687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
153503-030
WI
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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