NPI 1114609450 · live from the CMS NPI Registry
Rachel Ivie Anderson, FNP
Nurse Practitioner, Family in Midvale, UT. National Provider Identifier 1114609450, active.
NPI record
| NPI | 1114609450 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 167 W Princeton Dr, Midvale, UT 84047 |
| Practice phone | 385-219-1090 |
| Enumerated | August 7, 2023 |
| Last updated | August 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 108303978900 (UT) |
| Nurse Practitioner, Family primary | 363LF0000X | 108303974405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.