NPI 1881240919 · live from the CMS NPI Registry
Chad Andersen, NP
Nurse Practitioner in St George, UT. National Provider Identifier 1881240919, active.
NPI record
| NPI | 1881240919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1739 W Sunset Blvd, St George, UT 84770 |
| Practice phone | 435-634-6012 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | August 14, 2019 |
| Last updated | April 3, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 230938 (AZ) |
| Nurse Practitioner primary | 363L00000X | 11501225-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.