NICOLE RAE ANDERSEN RN
NPI 1215664347
Registered Nurse - Home Health in Superior, WI

Q: What is Nicole Andersen's NPI number?

The NPI number for Nicole Andersen is 1215664347. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Q: What is Nicole Andersen's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Andersen was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2022

1104 HAMMOND AVE, SUPERIOR, WI 54880(218) 348-5409 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nicole Rae Andersen Rn NPPES

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

NICOLE RAE ANDERSEN RN (NPI 1215664347) is an individual home health provider in Superior, Wisconsin, licensed in Minnesota (1132553) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1215664347

Entity TypeIndividualFemale

Primary Taxonomy163WH0200X

Provider Legal NameNICOLE RAE ANDERSENCredential: RN

Location Address1104 HAMMOND AVESuperior, WI 54880-1654

Mailing Address1104 Hammond AveSuperior, WI 54880-1654 · (218) 348-5409

Phone(218) 348-5409

Sole ProprietorYes

Enumeration DateAugust 8, 2022

NPPES CertifiedAugust 8, 2022

✔ NPI 1215664347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers

Taxonomy Code163WH0200X

License✔ Licensed in MN · 1132553

1104 HAMMOND AVE, Superior, WI 54880

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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 Nicole Andersen's NPI number?

The NPI number for Nicole Andersen is 1215664347. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Nicole Andersen located?

Nicole Andersen practices at 1104 Hammond Ave, Superior, WI 54880. The listed phone number is (218) 348-5409.

What is Nicole Andersen's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Nicole Andersen was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.