Individual
DANIEL RULON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
715 BRAMPTON DR, CALDWELL, ID 83605-6887
(208) 960-0559
Mailing address
715 BRAMPTON DR, CALDWELL, ID 83605-6887
(208) 960-0559
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1361470
ID
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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