NPI 1275547895 · live from the CMS NPI Registry
Jennifer H Anderson, FNP
Nurse Practitioner, Family in Logan, UT. National Provider Identifier 1275547895, active.
NPI record
| NPI | 1275547895 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1350 N 500 E Fl 3, Logan, UT 84341 |
| Practice phone | 435-792-1730 |
| Enumerated | July 28, 2006 |
| Last updated | July 17, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 2139584405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.