Individual
DR. BENJAMIN ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP
Contact information
Practice address
11035 KARCHER RD, NAMPA, ID 83651-8200
(208) 302-6600
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1261075
ID
363LF0000X
Family Nurse Practitioner
F07240792
ID
Other
Enumeration date
07/30/2024
Last updated
09/04/2024
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