# MICHAEL R ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295992097
- **Gender:** Man
- **Credential:** RN, APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 6685217-3102 | UT | — |
| 164W00000X | Licensed Practical Nurse | 6685217-3101 | UT | — |
| 247200000X | Other Technician | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 6685217-4405 | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN.1001330-NP | CO | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 12/08/2025