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Shannon Anderson

Licensed Practical Nurse in Eau Claire, WI. Individual provider (NPI-1).

NPI number1922531656
StatusActive
Last updated in NPPESApr 10, 2017

Details

NPI
1922531656
Entity type
Individual (NPI-1)
Name
Shannon Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 10, 2017
Last updated
Apr 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse30254331WIYes

Practice location

3440 Oakwood Hills Pkwy
Eau Claire, WI 54701-7698

Phone 715-214-2525

Mailing address

E22105 County Line Rd
Cadott, WI 54727-9200

Phone 715-667-5383

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