NPI 1699043315

Kade Douglas Anderson, PA

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Idaho Falls, ID

Practice location

Address: 2001 S Woodruff Ave STE 9, Idaho Falls, ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652

Registered specialties (5)

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence PA-950 (ID)

Other Clinical Nurse Specialist providers in Idaho →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Idaho →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-950 (ID)

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0807X Licence PA-950 (ID)

Adult Psychiatric/Mental Health Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0809X Licence PA-950 (ID)

Registry record

NPI: 1699043315
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2011
Record last updated: 10 Feb 2023

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.