Lookup NPI Numbers from the NPI Registry
NPI Profile for BRYCE W ANDERSEN in IDAHO FALLS, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1174955306 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 07/30/2013 | |
| Last updated | 03/11/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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BRYCE W ANDERSEN
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BRYCE W ANDERSEN, NP-C