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MR. MICHAEL ANDERSON FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1992285605
Individual Registrant:MR. MICHAEL ANDERSON FNP
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2767 SILVER CREEK RD STE A BULLHEAD CITY, AZ 86442-8227 US
Tel: 928-704-6741 Fax: --
Tel: 928-704-6741 Fax: --
Contact information for business:
2767 SILVER CREEK RD STE A BULLHEAD CITY, AZ 86442-8227 US
Tel: 928-704-6741 Fax: --
Tel: 928-704-6741 Fax: --
Registration Information:
NPI: 1992285605
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AZ | AP11621 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
