CARLY NICOLE ANDERSON LPN
NPI 1164690418
Licensed Practical Nurse in Onalaska, WI

Active since February 20, 2008
522 VILAS ST, ONALASKA, WI 54650(608) 386-1740 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carly Nicole Anderson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY NICOLE ANDERSON LPN (NPI 1164690418) is an individual licensed practical nurse in Onalaska, Wisconsin, licensed in Wisconsin (308381-31) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1164690418
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCARLY NICOLE ANDERSONCredential: LPN
Location Address522 VILAS STOnalaska, WI 54650-2034
Mailing Address522 Vilas StreetOnalaska, WI 54650 · (608) 386-1740
Sole ProprietorYes
Enumeration DateFebruary 20, 2008
NPI 1164690418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WI · 308381-31
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

522 VILAS ST, Onalaska, WI 54650

Other Identifiers 1

Medicaid35035700WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Anderson's NPI number?

The NPI number for Carly Anderson is 1164690418. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Carly Anderson located?

Carly Anderson practices at 522 Vilas St, Onalaska, WI 54650. The listed phone number is (608) 386-1740.

What is Carly Anderson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Carly Anderson was last updated on February 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.