Individual
DARA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4750 N FIVE MILE RD, BOISE, ID 83713-2715
(208) 996-0931
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-6490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11450495-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
61268
ID
Other
Enumeration date
06/13/2019
Last updated
05/13/2026
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