Individual
MRS. ANDREA BARBERA ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNPC
Contact information
Practice address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-7000
(208) 455-7722
Mailing address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-7000
(208) 455-7722
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4554318796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255408894
—
ID
Enumeration date
11/29/2006
Last updated
01/08/2014
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