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Bryce Wade Andersen, NP-C
Primary Care Nurse Practitioner in Idaho Falls, Idaho
NPI 1174955306

Bryce Wade Andersen is a Primary Care Nurse Practitioner based in Firth, ID and is specialized in Primary Care. Bryce Wade Andersen practices in Idaho Falls, ID and has the professional credentials of NP-C. The NPI Number for Bryce Wade Andersen is 1174955306 and holds a License No. NP1303A (Idaho).

The current practice location address for Bryce Wade Andersen is 3385 Potomac Way, Idaho Falls, ID and can be reached out via phone at 208-522-7246.

Location: 3385 Potomac Way, Idaho Falls, ID, 83236-1134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174955306
Provider Name
Bryce Wade Andersen
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
3385 Potomac Way, Idaho Falls, ID, 83236-1134
Phone Number
208-522-7246
Fax Number
Provider Enumeration Date
07/30/2013
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
3385 Potomac Way
City
Idaho Falls
State
Idaho
Zip
83404-4978
Phone Number
208-522-7246
Fax Number
person
Provider Business Mailing Address Details
Address
3385 Potomac Way
City
Idaho Falls
State
Idaho
Zip
83404-4978
Phone Number
208-522-7246
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
NP1303A (Idaho)
Definition
Definition to come...
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