IndividualActive
Nicholas Andersen, RRT
NPI 1528501392 · Registered Respiratory Therapist · Boise, ID
Provider details
- NPI number
- 1528501392
- Entity type
- Individual
- Primary specialty
- Registered Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RRT
- Sex
- Male
- Sole proprietor
- Yes
- License
- LRT-1601 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9730 W Mossywood Dr
Boise, ID 83709-5392
Phone: (208) 954-7433
Approximate (ZIP-level) locationGet directions
Mailing address
9730 W Mossywood Dr
Boise, ID 83709-5392
Registry dates
- Enumerated
- 2016-11-29
- Last updated
- 2016-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.