IndividualActive
Bryce Andersen, NP-C
NPI 1174955306 · Primary Care Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1174955306
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- License
- NP1303A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3385 Potomac Way
Idaho Falls, ID 83404-4978
Phone: (208) 522-7246
Approximate (ZIP-level) locationGet directions
Mailing address
690 N 700 E
Firth, ID 83236-1134
Registry dates
- Enumerated
- 2013-07-30
- Last updated
- 2024-03-11
- Certified
- 2024-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.