Provider Demographics
NPI:1285177063
Name:NISKANEN, ANISHA (RN)
Entity type:Individual
Prefix:
First Name:ANISHA
Middle Name:
Last Name:NISKANEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANISHA
Other - Middle Name:
Other - Last Name:SZYDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W9678 SCHROEDER LN
Mailing Address - Street 2:
Mailing Address - City:CRIVITZ
Mailing Address - State:WI
Mailing Address - Zip Code:54114-8210
Mailing Address - Country:US
Mailing Address - Phone:920-857-7943
Mailing Address - Fax:
Practice Address - Street 1:W9678 SCHROEDER LN
Practice Address - Street 2:
Practice Address - City:CRIVITZ
Practice Address - State:WI
Practice Address - Zip Code:54114-8210
Practice Address - Country:US
Practice Address - Phone:715-927-4902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI179311163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse