Individual
MISS SHAWN MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2654 RICHARDSON ST, FITCHBURG, WI 53711-5431
(608) 751-4181
Mailing address
2654 RICHARDSON ST, FITCHBURG, WI 53711-5431
(608) 751-4181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
154745030
WI
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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