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NPI Code Detail

MEDICARE: TONYA LEE ANDERSON RN

MEDICARE: TONYA LEE ANDERSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse163229-30WI

General Provider Information

NPI Number : 1881059129
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA LEE ANDERSON RN
Provider Business Mailing Address
First Line : 500 E VETERANS ST
Second Line :
City : TOMAH
State : WI
Zip : 54660-3105
Country : US
Telephone Number : 608-372-3971
Fax Number :
Provider Business Practice Location Address
First Line : 500 E VETERANS ST
Second Line :
City : TOMAH
State : WI
Zip : 54660-3105
Country : US
Telephone Number : 608-372-3971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2015
Last Update Date : 01/21/2026

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