Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY ANDERSON, CNM
Active Sole ProprietorMALLORY ANDERSON, CNM is a Advanced Practice Midwife healthcare provider located in RIB LAKE, Wisconsin. NPI 1174389357 is currently active in the NPPES registry. Verify at CMS.
Advanced Practice Midwife · RIB LAKE, WI
Registration Details
- NPI Number
- 1174389357
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2024 (2.4259952037104 yrs)
- Last Updated
- Feb 26, 2024
- License
-
150053 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N4959 MAPLE AVERIB LAKE, WI, 544709727Browse WI providers · Browse ZIP 54470
- Phone
- 7159656993
- Primary Specialty
-
Advanced Practice Midwife
367A00000X
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.