Anzalone, Andrea Barbera

Anzalone, Andrea Barbera is an individual health care provider with primary practice located at 13307 Miami Ln , Caldwell ID 83607-4701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Anzalone, Andrea Barbera can be contacted via phone (208) 455-7000.

Contact Information

Primary practice address
13307 Miami Ln Caldwell ID 83607-4701
Fax: (208) 455-7722
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 4554318796 California

Profile Details

NPI number 1255408894
LBN Legal business name Anzalone, Andrea Barbera
Credentials WHCNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jan 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255408894 NPPES
Idaho MEDICAID 1255408894

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