Provider Demographics
NPI:1740385020
Name:ANDERSON, YVONNE ERIN (RN MS CPNP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:ERIN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:RN MS CPNP
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Mailing Address - Street 1:12501 W HONEY LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-2646
Mailing Address - Country:US
Mailing Address - Phone:262-782-0129
Mailing Address - Fax:414-266-1761
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3518
Practice Address - Country:US
Practice Address - Phone:414-266-7439
Practice Address - Fax:414-266-1761
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI75747-030363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics