Evelyn Lauren Andersen, NP is a
Nurse Practitioner based in Winneconne, Wisconsin. Evelyn Lauren Andersen is licensed to practice in Wisconsin (license number 7801) and her current practice location is
6085 Harbour View Dr, Winneconne, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 582-0600.
NPI number for Evelyn Lauren Andersen is 1295262772 and her current mailing address is 6085 Harbour View Dr, Winneconne, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295262772.
Provider's Profile
Full Name | Evelyn Lauren Andersen |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 6085 Harbour View Dr, Winneconne, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295262772
- Provider Enumeration Date: 05/16/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Evelyn Lauren Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295262772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 7801 (Wisconsin) | Primary |
163WG0000X | Registered Nurse - General Practice | 178788-30 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evelyn Lauren Andersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Evelyn Lauren Andersen, NP 6085 Harbour View Dr, Winneconne, WI 54986-8656 Ph: (920) 582-0600 | Evelyn Lauren Andersen, NP 6085 Harbour View Dr, Winneconne, WI 54986-8656 Ph: (920) 582-0600 |
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