IndividualActive
Dusti Anderson, BSN RN
NPI 1174389035 · General Practice Registered Nurse · Boise, ID
Provider details
- NPI number
- 1174389035
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- BSN RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 72843 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
417 S 6th St
Boise, ID 83702-7632
Phone: (208) 740-9808
Approximate (ZIP-level) locationGet directions
Mailing address
5319 Weston Ave
Caldwell, ID 83607-1909
Registry dates
- Enumerated
- 2024-02-27
- Last updated
- 2024-03-26
- Certified
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.