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Contact Information

ANGELA ANDERSON, NP
1411 N TAYLOR DR
SHEBOYGAN, WI53081-3043
 Phone: 920-457-4858
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANGELA ANDERSON · (Female)

NPI Number 1982408647
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/02/2025
Last updated 11/14/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 15756-33
  • WI Medicaid 100373880
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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