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

MS. Avia Anderson

Individual provider Family Nurse Practitioner · NPI 1932772142

MS. Avia Anderson is a Family Nurse Practitioner in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

2660 11th Pl Unit 405
Kenosha, WI 53140-6404
Phone: (262) 412-0073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10660 (WI)

Record details

NPI number1932772142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 24, 2021
Last updated in NPPESJuly 24, 2021
Certification dateJuly 24, 2021
Mailing address2660 11th Pl Unit 405, Kenosha, WI 53140-6404

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