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Individual

MRS. ANNE ANIA PERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP, APNP

Contact information

Practice address
10501 W RESEARCH DR STE G200, MILWAUKEE, WI 53226-3449
(414) 543-3333
Mailing address
10501 W RESEARCH DR STE G200, MILWAUKEE, WI 53226-3449
(414) 543-3333

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3110
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3110
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1256887
CAQH
WI
05
1801953948
WI
Enumeration date
01/01/2007
Last updated
07/19/2016
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