IndividualActive
Amy Anderson, LPN
NPI 1164735536 · Licensed Practical Nurse · Marinette, WI
Provider details
- NPI number
- 1164735536
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 27115-031 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
614 Baxter St
Marinette, WI 54143-2906
Phone: (715) 732-4643
Approximate (ZIP-level) locationGet directions
Mailing address
614 Baxter St
Marinette, WI 54143-2906
Registry dates
- Enumerated
- 2010-07-14
- Last updated
- 2010-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.