DARA ANDERSON NP-C NPI 1558921429

NPI Information

NPI: 1558921429
Provider Name: DARA ANDERSON, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: VALLEY MENTAL HEALTH INCORPORATED

PECOS Registration: Yes

Address:
4750 N FIVE MILE RD
BOISE, ID
ZIP 83713
Phone: (208) 996-0931
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Dara Anderson, NP-C is a family nurse practitioner in Boise, ID with 6 years of experience. Dara Anderson, NP-C NPI is 1558921429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4750 N FIVE MILE RD
BOISE, ID
ZIP 83713-715
Phone: (208) 996-0931

The NPI 1558921429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2019 and was last updated on 1/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	61268	IDAHO	Yes
2	363LF0000X	Nurse Practitioner	Family	11450495-4405	UTAH	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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