Mallory Anderson, CNM is a
Advanced Practice Midwife based in Rib Lake, Wisconsin. Mallory Anderson is licensed to practice in Wisconsin (license number 150053) and her current practice location is
N4959 Maple Ave, Rib Lake, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 965-6993.
NPI number for Mallory Anderson is 1174389357 and her current mailing address is N4959 Maple Ave, Rib Lake, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174389357.
Provider's Profile
Full Name | Mallory Anderson |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | N4959 Maple Ave, Rib Lake, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174389357
- Provider Enumeration Date: 02/26/2024
- Last Update Date: 02/26/2024
Medical Identifiers
Medical identifiers for Mallory Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174389357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 150053 (Wisconsin) | Primary |
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. Mallory Anderson 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 |
Mallory Anderson, CNM N4959 Maple Ave, Rib Lake, WI 54470-9727 Ph: (715) 965-6993 | Mallory Anderson, CNM N4959 Maple Ave, Rib Lake, WI 54470-9727 Ph: (715) 965-6993 |
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