IndividualActive
Kade Anderson, P.A.
NPI 1699043315 · Psychiatric/Mental Health Clinical Nurse Specialist · Idaho Falls, ID
Provider details
- NPI number
- 1699043315
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
Approximate (ZIP-level) locationGet directions
Mailing address
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2023-02-10
- Certified
- 2023-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.