Individual
CHAD ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1739 W SUNSET BLVD, ST GEORGE, UT 84770-7141
(435) 634-6012
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 634-6012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11501225-4405
UT
363LF0000X
Family Nurse Practitioner
230938
AZ
Other
Enumeration date
08/14/2019
Last updated
04/03/2026
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