Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKE ANDERSON
Active Sole ProprietorRespite Care (Camp) · MERIDIAN, ID
Registration Details
- NPI Number
- 1194033746
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2010 (15.595458167045 yrs)
- Last Updated
- Sep 16, 2010
- Sole Proprietor
- Yes
Practice Information
- Address
-
618 NW 1ST STMERIDIAN, ID, 836422505Browse ID providers · Browse ZIP 83642
- Phone
- 2084072077
- Primary Specialty
-
Respite Care (Camp)
385HR2060X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.