Kade Douglas Anderson, P.A. Valid NPI

Individual provider · Psychiatric/Mental Health Clinical Nurse Specialist · Idaho Falls, ID

NPI

1699043315

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Clinical Nurse Specialist (Clinical Nurse Specialist)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

364SP0808X

License number

PA-950 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2011-12-08

Last updated

2023-02-10