Carly Nicole Anderson in Onalaska - Licensed Practical Nurse
Carly Nicole Anderson - NPI 1164690418
Carly Nicole Anderson is a Licensed Practical Nurse in Onalaska, Wisconsin. Carly Nicole Anderson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Carly Nicole Anderson is 1164690418. The last update date is 2008-02-20.
Carly Nicole Anderson's current location address is 522 Vilas Street, Onalaska, Wisconsin. You can contact this provider via phone number 6083861740. The mailing address for Carly Nicole Anderson is 522 Vilas Street, Onalaska, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carly Nicole Anderson |
|---|---|
| Address | 522 Vilas Street, Onalaska, Wisconsin |
| Phone Number | 6083861740 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1164690418 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2008-02-20 |
Provider Mailing Address Detail
| Address | 522 Vilas Street |
|---|---|
| City | Onalaska |
| State | Wisconsin (WI) |
| Post Code | 54650 |
| Phone Number | 6083861740 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 308381-31 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35035700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carly Nicole Anderson by the Centers for Medicare & Medicaid Services?
The Carly Nicole Anderson has been issued the NPI (National Provider Identifier) 1164690418, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Carly Nicole Anderson located?
The Carly Nicole Anderson is located at 522 Vilas Street, Onalaska, WI 54650.
What is Carly Nicole Anderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carly Nicole Anderson is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.
On what date did the Carly Nicole Anderson receive its 1164690418 assignment from the Centers for Medicare & Medicaid Services?
The Carly Nicole Anderson was assigned its 1164690418 by the Centers for Medicare & Medicaid Services on 2008-02-20.
When was the information pertaining to Carly Nicole Anderson most recently updated or revised?
The details related to Carly Nicole Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-20.
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