Individual
MICHAEL R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, APRN
Contact information
Practice address
6650 S VINE ST STE 100, CENTENNIAL, CO 80121-2740
(303) 535-7548
Mailing address
474 W 200 N, STE#300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6685217-3102
UT
164W00000X
Licensed Practical Nurse
6685217-3101
UT
247200000X
Other Technician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6685217-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.1001330-NP
CO
Other
Enumeration date
05/20/2008
Last updated
12/08/2025
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