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Autumn Anderson
NPI 1770229544 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2549 North Stokesberry Place
Meridian, ID 83646 - Phone
- (208) 918-4665
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho