Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nicholas L Anderson

Individual provider Pediatrics Physician · NPI 1366976409

Mr. Nicholas L Anderson is a Pediatrics Physician in Neenah, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017

Practice location Address checks out

130 2nd St
Neenah, WI 54956-2883
Phone: (920) 969-7906
Fax: (920) 969-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 73724-20 (WI)

Record details

NPI number1366976409
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2017
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020
Mailing address130 2nd St, Neenah, WI 54956-2883

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