Individual
AMY ROSE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
520 S EAGLE RD STE 1201, MERIDIAN, ID 83642-6355
(208) 381-5500
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
70063
ID
Other
Enumeration date
12/14/2021
Last updated
03/29/2023
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