NPI 1386267953 · live from the CMS NPI Registry
Shannon Anderson
Social Worker in Nampa, ID. National Provider Identifier 1386267953, active.
NPI record
| NPI | 1386267953 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 217 W Georgia Ave Ste 120, Nampa, ID 83686 |
| Practice phone | 208-498-1760 |
| Enumerated | May 18, 2020 |
| Last updated | May 18, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.