SearchWisconsin367A00000X

Mallory Anderson, CNM

NPI 1174389357 · on the registry since 2024 · sole proprietor

Practice

Address
N4959 Maple Ave
Rib Lake, WI 54470
Phone
(715) 965-6993

Registry record

Primary taxonomy
367A00000X
367A00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-26

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