Deanna Rachel Anderson
Nurse Practitioner, Family in Nampa, ID. Individual provider (NPI-1).
NPI number1982398038
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1982398038
- Entity type
- Individual (NPI-1)
- Name
- Deanna Rachel Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2023
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 76326 | ID | Yes |
| 207Q00000X | Family Medicine | 76326 | ID |
Practice location
1510 12th Ave RdNampa, ID 83686-6008
Phone 208-302-6800 · Fax 208-302-6855
Mailing address
1510 12th Ave RdNampa, ID 83686-6008
Phone 208-302-6800 · Fax 208-302-6855
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