Individual provider · Type 1 NPI
Avia Anderson
Family Nurse Practitioner · Kenosha, WI
NPI number
1932772142
Active
Practice location
2660 11th Pl Unit 405
Kenosha, WI 53140-6404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10660 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1932772142
Avia Anderson's National Provider Identifier is 1932772142, issued on Jul 24, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kenosha, WI. The record was last updated on Jul 24, 2021.