Individual
MRS. PAMELA ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
201 N MAYFAIR RD FL 2, WAUWATOSA, WI 53226-4216
(414) 259-7505
Mailing address
6920 W LOCUST ST, MILWAUKEE, WI 53210-1240
(414) 303-1359
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9099-33
WI
Other
Enumeration date
05/30/2019
Last updated
02/26/2021
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