Individual
MS. JOAN M. ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-5000
(262) 257-5005
Mailing address
W339S4971 FOX HOLLOW DR, DOUSMAN, WI 53118-9742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58271-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43916200
—
WI
Enumeration date
06/08/2005
Last updated
07/08/2007
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