Individual
BRENDA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
245 WINDWARD WAY, SUITE 101, KALISPELL, MT 59901-3133
(406) 756-8488
(406) 257-4663
Mailing address
245 WINDWARD WAY, SUITE 101, KALISPELL, MT 59901-3133
(406) 756-8488
(406) 257-4663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084172
NCCPA
MT
01
—
1912145467
BCBS
MT
05
—
1912145467
—
MT
Enumeration date
01/21/2009
Last updated
11/27/2023
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