Anderson, Michelle Marie

Anderson, Michelle Marie is an individual health care provider with primary practice located at 1207 Michigan St Suite C, Sandpoint ID 83864-6608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Anderson, Michelle Marie can be contacted via phone (208) 265-2221.

Contact Information

Primary practice address
1207 Michigan St Suite C Sandpoint ID 83864-6608
Phone: (208) 265-2221
Fax: (208) 265-2229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-802A Idaho

Profile Details

NPI number 1922053883
LBN Legal business name Anderson, Michelle Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Feb 14th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922053883 NPPES
Idaho MEDICAID 807727100

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