SearchIdaho235Z00000X

Michelle Anderson

NPI 1912304163 · on the registry since 2014 · sole proprietor

Practice

Address
125 Arden Dr
Idaho Falls, ID 83404
Phone
(208) 716-0172

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho