Mallory Anderson, CNM in Rib Lake, WI - Advanced Practice Midwife

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.

Contact Information

	Mallory Anderson, CNM
	N4959 Maple Ave, Rib Lake, WI 54470-9727
	(715) 965-6993
	Not Available

Provider's Profile

Full Name	Mallory Anderson
Gender	Female
Speciality	Advanced Practice Midwife
Location	N4959 Maple Ave, Rib Lake, Wisconsin
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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Mallory Anderson, CNM - Advanced Practice Midwife in Rib Lake, WI