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Individual
CHAD ANDERSEN
Active
Individual
CHAD ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11501225-4405
UT
363LF0000X
Family Nurse Practitioner
230938
AZ
Other
Enumeration date
08/14/2019
Last updated
04/03/2026
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