Individual
CALEB ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
411 LAUREL ST, SUITE A250, DES MOINES, IA 50314-3017
(515) 235-5000
Mailing address
5880 UNIVERSITY AVE, WEST DES MOINES, IA 50266-8209
(515) 633-3835
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
H136852
IA
363LC0200X
Critical Care Medicine Nurse Practitioner
209011352
IL
Other
Enumeration date
05/21/2014
Last updated
10/31/2014
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