NPI Profile for Dr MICAH F ANDERSON in VANCOUVER, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1295373959 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 12/12/2019 | |
| Last updated | 09/20/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MICAH F ANDERSON
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