Search › Wisconsin › 363LC0200X
Kristian Anderson, AGACNP-BC
NPI 1053195099 · on the registry since 2023 · sole proprietor
Practice
- Address
- 401 E Industrial Dr Unit 627
Hartland, WI 53029 - Phone
- (414) 850-7586
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LC0200X
363LC0200X
- Also registered as
- 163WC0200X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin