Individual
JENNIFER R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4141 W MARTIN DR APT 4, MILWAUKEE, WI 53208-2755
(414) 455-3286
Mailing address
4141 W MARTIN DR APT 4, MILWAUKEE, WI 53208-2755
(414) 455-3286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
159696
WI
Other
Enumeration date
01/22/2010
Last updated
07/30/2010
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