Chad Andersen, NP
Nurse Practitioner in St George, UT. Individual provider (NPI-1).
NPI number1881240919
StatusActive
Last updated in NPPESApr 3, 2026
Details
- NPI
- 1881240919
- Entity type
- Individual (NPI-1)
- Name
- Chad Andersen
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2019
- Certification date
- Apr 3, 2026
- Last updated
- Apr 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11501225-4405 | UT | Yes |
| 363LF0000X | Nurse Practitioner, Family | 230938 | AZ |
Practice location
1739 W Sunset BlvdSt George, UT 84770-7141
Phone 435-634-6012
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Phone 435-634-6012
Other practice locations
3658 W Goldmine Mountain Dr
San Tan Valley, AZ 85142-6593
San Tan Valley, AZ 85142-6593
Phone 480-388-6121
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