NPI 1215237896

Julie Marie Anderson, PA

Practitioner Physician Assistant Rexburg, ID

Practice location

Address: 117 W Main St STE 101, Rexburg, ID 83440-1826
Phone: (208) 709-0478
Mailing address: PO Box 3625, Idaho Falls, ID 83403-3625

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-871 (ID)

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Registry record

NPI: 1215237896
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2010
Record last updated: 26 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.