Andersen, Bryce Wade
Andersen, Bryce Wade is an individual health care provider with primary practice located at 3385 Potomac Way , Idaho Falls ID 83404-4978. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Andersen, Bryce Wade can be contacted via phone (208) 522-7246.Contact Information
Primary practice address
3385 Potomac Way
Idaho Falls ID 83404-4978
Phone: (208) 522-7246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | NP1303A | Idaho |
Profile Details
| NPI number | 1174955306 |
|---|---|
| LBN Legal business name | Andersen, Bryce Wade |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2013 |
| Last updated | Mar 11th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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