Anderson, Gwen Marie

Anderson, Gwen Marie is an individual health care provider with primary practice located at 1221 Whipple St , Eau Claire WI 54703-5270. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Gwen Marie can be contacted via phone (715) 838-3311.

Contact Information

Primary practice address
1221 Whipple St Eau Claire WI 54703-5270
Phone: (715) 838-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 132471-030 Wisconsin

Profile Details

NPI number 1316103369
LBN Legal business name Anderson, Gwen Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Jan 29th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316103369 NPPES
Wisconsin MEDICAID 100000453

Popular Providers