Individual
KATHERINE ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
73 NAVAJO DR, POCATELLO, ID 83202
(208) 478-3987
Mailing address
3773 N FLINT AVE, IDAHO FALLS, ID 83401-6370
(208) 521-1949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77094
ID
Other
Enumeration date
07/31/2023
Last updated
01/26/2024
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