Individual
EMILY DAWN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
39 W PINE AVE STE B20, MERIDIAN, ID 83642-2412
(208) 286-8670
Mailing address
39 W PINE AVE, MERIDIAN, ID 83642-2281
(208) 286-8670
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71725
ID
Other
Enumeration date
02/17/2022
Last updated
06/09/2022
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