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Contact Information

ANN M ANDERSON, NP
302 WEST LAKE ST
FRIENDSHIP, WI53934
 Phone: 608-339-3326
 Fax: 608-339-6057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANN M ANDERSON · (Female)

NPI Number 1174514699
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/03/2005
Last updated 06/24/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 67825
  • WI Medicaid 43889700
  • WI Other 12579 DEAN
  • WI Other WI01E5 JOHN DEERE
  • WI Other 500005455 RAILROAD MEDICARE
  • WI Other 1002627 TOUCHPOINT
  • WI Other 39080723691 UNITY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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