Individual
SUSAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
311 ELM ST, WOODRUFF, WI 54568-9149
(715) 356-8540
Mailing address
2251 NORTH SHORE DR, RHINELANDER, WI 54501-8360
(715) 361-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1658-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43936700
—
WI
Enumeration date
06/08/2006
Last updated
12/21/2011
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