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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KRISTINA NICHOLAS ANDERSON, LSW, MASTERS STUDENT

Active

MRS. KRISTINA NICHOLAS ANDERSON, LSW, MASTERS STUDENT is a Social Worker healthcare provider located in DALTON GARDENS, Idaho. NPI 1790904779 is currently active in the NPPES registry. Verify at CMS.

Social Worker · DALTON GARDENS, ID

Registration Details

NPI Number
1790904779
Provider Type
Individual
Gender
Female
NPI Issued
Apr 25, 2007 (19.309992793199 yrs)
Last Updated
Jul 8, 2007
License
LSW-2298 (ID)

Practice Information

Address
5624 N GOVERNMENT WAY
SUITE 7B
DALTON GARDENS, ID, 838157350
Browse ID providers · Browse ZIP 83815
Phone
2087629890
Fax
2087629892
Primary Specialty
Social Worker
104100000X
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.