Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WADE MOYLE ANDERSON, PA-C
ActiveFamily Health Clinical Nurse Specialist · GUNNISON, UT
Registration Details
- NPI Number
- 1578749123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2008 (18.272849267067 yrs)
- Last Updated
- Mar 8, 2016
- Licenses
-
6817642-1206 (UT)6817642-1206 (UT)
Practice Information
- Address
-
85 N. 100 E.SUITE AGUNNISON, UT, 846340849Browse UT providers · Browse ZIP 84634
- Phone
- 4355287202
- Fax
- 4355283624
- Primary Specialty
-
Family Health Clinical Nurse Specialist
364SF0001X
- Additional Specialty
- Family Health Clinical Nurse Specialist
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.