David Andrus
Case Manager/Care Coordinator in Ammon, ID. Individual provider (NPI-1).
NPI number1932967882
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1932967882
- Entity type
- Individual (NPI-1)
- Name
- David Andrus
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2024
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
5424 E 65th SAmmon, ID 83406-5100
Phone 208-206-4535
Mailing address
5424 E 65th SAmmon, ID 83406-5100
Phone 208-206-4535
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