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NPI 1790518751

IndividualActive

Daniel Anderson, PMHNP-BC

NPI 1790518751 · Psychiatry Physician · Caldwell, ID

Provider details

NPI number: 1790518751
Entity type: Individual
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Credential: PMHNP-BC
Sex: Male
Sole proprietor: Yes
License: 1361470 (ID)

Practice location

715 Brampton Dr

Caldwell, ID 83605-6887

Phone: (208) 960-0559

More ID providers

Mailing address

715 Brampton Dr

Caldwell, ID 83605-6887

Registry dates

Enumerated: 2024-08-23
Last updated: 2024-08-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Daniel Anderson, PMHNP-BC — NPI 1790518751, Caldwell, ID | NPI Central