Individual provider · NPI-1

Dusti Anderson, BSN RN

Registered Nurse, General Practice · Boise, ID

NPI number1174389035

StatusActive

Last updated in NPPESMar 26, 2024

Details

NPI: 1174389035
Entity type: Individual (NPI-1)
Name: Dusti Anderson
Credential: BSN RN
Sex: Female
Sole proprietor: Yes
Enumeration date: Feb 27, 2024
Certification date: Mar 26, 2024
Last updated: Mar 26, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WG0000X	Registered Nurse, General Practice	72843	ID	Yes

Other names

Dusti Rogers (Former Name)

Practice location

417 S 6th St
Boise, ID 83702-7632

Phone 208-740-9808

Mailing address

5319 Weston Ave
Caldwell, ID 83607-1909

Phone 208-740-9808

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