Carly Nicole Anderson LPN

NPI 1164690418 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1164690418
Gender Female
Enumeration Date 02/20/2008
Last Updated 02/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
522 VILAS ST
ONALASKA WI, 54650-2034, US
Phone (608) 386-1740
Fax
Business Location
522 VILAS STREET
ONALASKA WI, 54650, US
Phone (608) 386-1740
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 308381-31
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According to our database, Carly Nicole Anderson LPN NPI is 1164690418, taxonomy code is 164W00000X and license number is 308381-31, license state is located at Wisconsin. Carly Nicole Anderson LPN physically located at 522 Vilas St, Onalaska WI, 54650-2034. NPI Number Carly Nicole Anderson LPN has the Individual type.

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1164690418 NPI number is provided on an as is basis without warranty of any kind. 1164690418 is maintained by the National Plan & Provider Enumeration System. The contents of Carly Nicole Anderson LPN are for informational purposes only.