Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVY M ANDERSEN, MD
ActiveSleep Medicine (Psychiatry) · LA CROSSE, WI
Registration Details
- NPI Number
- 1013064997
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2007 (19.293476141725 yrs)
- Last Updated
- Apr 10, 2015
- Licenses
-
37293 (IA)50652 (WI)50652 (WI)37293 (IA)
Practice Information
- Address
-
1836 SOUTH AVELA CROSSE, WI, 546015429Browse WI providers · Browse ZIP 54601
- Phone
- 6087827300
- Primary Specialty
-
Sleep Medicine (Psychiatry)
2084S0012X
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
- Additional Specialty
- Sleep Medicine (Psychiatry)
- Additional Specialty
- Sleep Medicine (Psychiatry)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.