Anderson, Mallory

Anderson, Mallory is an sole proprietor health care provider with primary practice located at N4959 Maple Ave , Rib Lake WI 54470-9727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Anderson, Mallory can be contacted via phone (715) 965-6993.

Contact Information

Primary practice address
N4959 Maple Ave Rib Lake WI 54470-9727
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 150053 Wisconsin

Profile Details

NPI number 1174389357
LBN Legal business name Anderson, Mallory
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2024
Last updated Feb 26th, 2024 - about last year

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.

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