Individual
MRS. CATHERINE ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
855 E SHORE DR, HUBERTUS, WI 53033-9536
(262) 334-5323
(262) 375-1071
Mailing address
859 E SHORE DR, HUBERTUS, WI 53033-9536
(414) 801-4118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2073-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2007009911
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2073-33
WISCONSIN LICENSE
WI
05
—
43975400
—
WI
Enumeration date
10/10/2005
Last updated
09/21/2023
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