Anderson, Risa A
Anderson, Risa A is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Wound Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Anderson, Risa A can be contacted via phone (414) 649-1292.Contact Information
Primary practice address
2900 W Oklahoma Ave
Milwaukee WI 53215-4330
Phone: (414) 649-1292
Fax: (414) 385-8721
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1517 | Wisconsin |
Nursing Service Providers / Wound Care | 163WW0000X | 125006-030 | Wisconsin |
Profile Details
NPI number | 1972664340 |
---|---|
LBN Legal business name | Anderson, Risa A |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2006 |
Last updated | Nov 10th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972664340 | NPPES |
Wisconsin | MEDICAID | 100003796 |
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