Provider Demographics
NPI:1255476859
Name:GEROU, ANNE RACHEL (RN,NP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:RACHEL
Last Name:GEROU
Suffix:
Gender:F
Credentials:RN,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 WYLDE OAK CT
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-7653
Mailing Address - Country:US
Mailing Address - Phone:920-233-8121
Mailing Address - Fax:
Practice Address - Street 1:751 COUNTY ROAD K
Practice Address - Street 2:
Practice Address - City:FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54935-7707
Practice Address - Country:US
Practice Address - Phone:920-929-3881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory