Individual provider · NPI-1

Taelor Nicole Anderson

Nurse Practitioner · Nampa, ID

NPI number1003774605
StatusActive
Last updated in NPPESJan 12, 2026

Details

NPI
1003774605
Entity type
Individual (NPI-1)
Name
Taelor Nicole Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Jan 12, 2026
Certification date
Jan 12, 2026
Last updated
Jan 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner2771785IDYes

Practice location

16818 N Marketplace Blvd
Nampa, ID 83687-5140

Phone 208-321-4000

Mailing address

16818 N Marketplace Blvd
Nampa, ID 83687-5140

Phone 208-321-4000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Nampa, ID