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Ms. Avia Anderson
Family Nurse Practitioner in Kenosha, Wisconsin
NPI 1932772142

Avia Anderson is a Family Nurse Practitioner based in Kenosha, WI and is specialized in Family. Avia Anderson practices in Kenosha, WI. The NPI Number for Avia Anderson is 1932772142 and holds a License No. 10660 (Wisconsin).

The current practice location address for Avia Anderson is 2660 11Th Pl Unit 405, Kenosha, WI and can be reached out via phone at 262-412-0073.

Location: 2660 11Th Pl Unit 405, Kenosha, WI, 53140-6404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932772142
Provider Name
Avia Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2660 11Th Pl Unit 405, Kenosha, WI, 53140-6404
Phone Number
262-412-0073
Fax Number
Provider Enumeration Date
07/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2660 11Th Pl Unit 405
City
Kenosha
State
Wisconsin
Zip
53140-6404
Phone Number
262-412-0073
Fax Number
person
Provider Business Mailing Address Details
Address
2660 11Th Pl Unit 405
City
Kenosha
State
Wisconsin
Zip
53140-6404
Phone Number
262-412-0073
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10660 (Wisconsin)
Definition
Definition to come...
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