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Search › Idaho › 225200000X

Shantay Anderson

NPI 1942829205 · on the registry since 2020

Practice

Address
527 Memorial Dr
Pocatello, ID 83201
Phone
(208) 478-3333
Organisation at this address
Pocatello Health Services, Inc.
Pocatello Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-15

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