Individual
WILLIAM ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7000
Mailing address
855 N WESTHAVEN DR STE 210, OSHKOSH, WI 54904-7668
(920) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193744-30
WI
363L00000X
Nurse Practitioner
Primary
13049-033
WI
363LF0000X
Family Nurse Practitioner
13049-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211383
—
WI
Enumeration date
07/06/2022
Last updated
11/30/2022
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