Individual provider · NPI-1

Jill Anderson, APRN, MSN, CCNS

Registered Nurse, Cardiac Rehabilitation · Boise, ID

NPI number1063696979
StatusActive
Last updated in NPPESDec 27, 2007

Details

NPI
1063696979
Entity type
Individual (NPI-1)
Name
Jill Anderson
Credential
APRN, MSN, CCNS
Sex
Female
Sole proprietor
No
Enumeration date
Dec 27, 2007
Last updated
Dec 27, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WC3500X Registered Nurse, Cardiac RehabilitationCNS27IDYes

Practice location

6140 W. Curtisian Avenue
Suite 200
Boise, ID 83704-0107

Phone 208-367-4278

Mailing address

6140 W. Curtisian Avenue
Suite 200
Boise, ID 83704-0107

Phone 208-367-4278

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