Individual provider · NPI-1
Kayleigh Anderson, APRN
Nurse Practitioner, Family · Missoula, MT
NPI number1235808338
StatusActive
Last updated in NPPESSep 29, 2021
Details
- NPI
- 1235808338
- Entity type
- Individual (NPI-1)
- Name
- Kayleigh Anderson
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2021
- Certification date
- Sep 29, 2021
- Last updated
- Sep 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NUR-APRN-LIC-177433 | MT | Yes |
| 163W00000X | Registered Nurse | NUR-RN-LIC-49168 | MT |
Practice location
1211 S Reserve St Ste 101Missoula, MT 59801-3103
Phone 406-327-3057 · Fax 406-327-3231
Mailing address
Po Box 12Liberty Lake, WA 99019-0012
Phone 406-327-3057 · Fax 406-327-3231
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