Individual
LANCE ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
924 S PINES RD STE 101, SPOKANE VALLEY, WA 99206-5423
(509) 299-8160
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60203458
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61344818
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP61344818
—
WA
Enumeration date
09/16/2021
Last updated
03/12/2024
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