CARMEN D. ANDERSON APNP NPI 1255683850

NPI Information

  • NPI: 1255683850
  • Provider Name: CARMEN D. ANDERSON, APNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 720 S VANBUREN ST
    SUITE 201
    GREEN BAY, WI
    ZIP 54301
  • Phone: (920) 433-7488

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NPI Details

Carmen D. Anderson, APNP is a family nurse practitioner in Green Bay, WI with 13 years of experience. Carmen D. Anderson, APNP NPI is 1255683850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 S VANBUREN ST
SUITE 201
GREEN BAY, WI
ZIP 54301-534
Phone: (920) 433-7488
Fax: (920) 433-7439

The NPI 1255683850 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2012 and was last updated on 9/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner5082-33WISCONSINNo
2363LF0000XNurse PractitionerFamily5082-33WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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