IndividualActive
Emily Anderson, AGNP
NPI 1982359006 · Gerontology Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1982359006
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 71725 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
39 W Pine Ave Ste B20
Meridian, ID 83642-2412
Phone: (208) 286-8670
Approximate (ZIP-level) locationGet directions
Mailing address
39 W Pine Ave
Meridian, ID 83642-2281
Registry dates
- Enumerated
- 2022-02-17
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.