Individual
LAURA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
Mailing address
5308 HERON TRL, MIDDLETON, WI 53562-5215
(608) 215-1526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11417-33
WI
Other
Enumeration date
12/03/2021
Last updated
03/09/2022
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