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Contact Information

CAITLIN E ANDERSON, AGNP
333 N 1ST ST STE 280
BOISE, ID83702-6132
 Phone: 208-333-8346
 Fax: 208-345-1213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CAITLIN E ANDERSON · (Female)

NPI # 1275031940
Status Active
Credentials AGNP
Entity Individual
Enumeration date 01/29/2018
Last updated 01/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 44957
  • ID License # 58171
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
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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