Individual
KATIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4005 COMMUNITY CENTER DR, WESTON, WI 54476-4139
(715) 241-5404
Mailing address
4005 COMMUNITY CENTER DR, WESTON, WI 54476-4139
(715) 241-5404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5085-33
WI
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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