Individual
CHELSEA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CPNP
Contact information
Practice address
4740 N PENNGROVE WAY STE 210, MERIDIAN, ID 83646-7447
(208) 514-0203
Mailing address
4740 N PENNGROVE WAY STE 210, MERIDIAN, ID 83646-7447
(208) 514-0203
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
62951
ID
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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