Provider Demographics
NPI:1801966502
Name:NERISON, ANNE H (AUD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:H
Last Name:NERISON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:ALGONA
Mailing Address - State:IA
Mailing Address - Zip Code:50511-2640
Mailing Address - Country:US
Mailing Address - Phone:515-295-2007
Mailing Address - Fax:515-295-2684
Practice Address - Street 1:2 E STATE ST
Practice Address - Street 2:
Practice Address - City:ALGONA
Practice Address - State:IA
Practice Address - Zip Code:50511-2640
Practice Address - Country:US
Practice Address - Phone:515-295-2007
Practice Address - Fax:515-295-2684
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA283, 432237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter