NICHOLAS ANDERSON

IDAHO FALLS, ID
NPI1093281016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1788)
Enumeration Date2018-10-17
Last Update Date2026-06-09
Business Address
NICHOLAS ANDERSON PA-C
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404-7546
Phone number: 208-529-2230
Mailing Address
NICHOLAS ANDERSON PA-C
3200 CHANNING WAY STE A206
IDAHO FALLS, ID 83404-7586
Phone number: 208-529-2230