BRYCE WADE ANDERSEN NP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Primary Care
Provider Information
- NPI Number
1174955306- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP-C
- Status
- Active
Contact & Location
- Address
- 3385 POTOMAC WAY, IDAHO FALLS, ID, 834044978
- Phone
- (208) 522-7246
Specialties & Taxonomies
Nurse Practitioner, Primary Care
Primary License: ID #NP1303A