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General NPI Number Information
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NPI Number | 1891415758
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Entity Type | Individual
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Provider Name | MRS. KRISTEN ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 7330 W LAYTON AVE
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City | MILWAUKEE
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State | WI
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Zip | 53220-3849
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Country | US
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Telephone | 414-877-4570
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Fax | 414-281-9884
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Provider Business Mailing Address
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Address Line | 7330 W LAYTON AVE
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City | MILWAUKEE
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State | WI
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Zip | 53220-3849
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Country | US
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Telephone | 414-699-1239
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Fax | 414-281-9884
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 13098-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 13098
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License Number State | WI
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