Angela Dawn Andrus in Idaho Falls - Pediatrics
Angela Dawn Andrus - NPI 1386802908
Angela Dawn Andrus is a Pediatrics in Idaho Falls, Idaho. Angela Dawn Andrus practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Angela Dawn Andrus is 1386802908. The last update date is 2008-05-30.
Angela Dawn Andrus's current location address is 2030 Jennie Lee Dr, Idaho Falls, Idaho. You can contact this provider via phone number 2085238879 and fax number 2085230436. The mailing address for Angela Dawn Andrus is 2030 Jennie Lee Dr, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Dawn Andrus |
|---|---|
| Address | 2030 Jennie Lee Dr, Idaho Falls, Idaho |
| Phone Number | 2085238879 |
| Fax Number | 2085230436 |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1386802908 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 2030 Jennie Lee Dr |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047000 |
| Phone Number | 2085238879 |
| Fax Number | 2085230436 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT1085 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identification code issued to Angela Dawn Andrus by the Centers for Medicare & Medicaid Services?
The Angela Dawn Andrus has been assigned the NPI (National Provider Identifier) 1386802908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Angela Dawn Andrus is physically located?
The Angela Dawn Andrus is situated at the following address: 2030 Jennie Lee Dr, Idaho Falls, ID 834047000.
What is Angela Dawn Andrus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Angela Dawn Andrus's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2251P0200X.
On what date did the Angela Dawn Andrus receive its 1386802908 assignment from the Centers for Medicare & Medicaid Services?
The Angela Dawn Andrus was assigned its 1386802908 by the Centers for Medicare & Medicaid Services on 2008-05-30.
As of what date was the information regarding Angela Dawn Andrus, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Angela Dawn Andrus, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-30.