| Doctor Name: | ANN M ANDERSON |
| NPI Number: | 1174514699 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 67825 |
| Business Practice Address: | 302 West Lake St Friendship, WI - 53934 |
| Business Phone Number: | 6083393326 |
| Business Fax Number: | 6083396057 |
| Mailing Address: | Po Box 10, FRIENDSHIP |
| State: | WI |
| Postal Code: | 539340010 |
| Phone Number: | 6083393326 |
| Fax Number: | 6083396057 |
| NPI Enumeration Date: | 11/03/2005 |
| NPI Last Update Date: | 06/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 67825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |