| Doctor Name: | MRS. KRISTA D ANDERSON |
| NPI Number: | 1427089135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 2738-033 |
| Business Practice Address: | 610 W Adams St Black River Falls, WI - 546159010 |
| Business Phone Number: | 7152844311 |
| Business Fax Number: | 7152842568 |
| Mailing Address: | 610 W Adams St, BLACK RIVER FALLS |
| State: | WI |
| Postal Code: | 546159010 |
| Phone Number: | 7152844311 |
| Fax Number: | 7152842568 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 02/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2738-033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |