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Contact Information

DEANNA R ANDERSON
1510 12TH AVE RD
NAMPA, ID83686-6008
 Phone: 208-302-6800
 Fax: 208-302-6855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DEANNA R ANDERSON · (Female)

NPI # 1982398038
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2023
Last updated 06/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 76326
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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