| Daniel Rulon Anderson, PMHNP-BC | |
|
715 Brampton Dr, Caldwell, ID 83605-6887 | |
| (208) 960-0559 | |
| Not Available |
| Full Name | Daniel Rulon Anderson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 715 Brampton Dr, Caldwell, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790518751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1361470 (Idaho) | Primary |
| Entity Name | Meridian Advanced Psychiatry , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609412683 PECOS PAC ID: 8628490711 Enrollment ID: O20200618000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Rulon Anderson, PMHNP-BC 715 Brampton Dr, Caldwell, ID 83605-6887 Ph: (208) 960-0559 | Daniel Rulon Anderson, PMHNP-BC 715 Brampton Dr, Caldwell, ID 83605-6887 Ph: (208) 960-0559 |
Dr. Sandra Lare, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2609 S 10th Ave Ste 102, Caldwell, ID 83605 Phone: 208-454-2766 | |
Wade Harris, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St, Ste 201, Caldwell, ID 83605 Phone: 208-454-0567 | |
Dr. Richard A. Montgomery, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605 Phone: 208-795-5072 | |
Colt Kennington, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605 Phone: 208-795-5072 | |
Dr. Alfred F Brem, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1906 Fairview Ave Ste 220, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-442-6520 | |
Dr. L. Mark Kimsey, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 E Logan St, Caldwell, ID 83605 Phone: 208-459-2840 Fax: 208-459-3012 | |
Lawrence Estel Banta, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Suite 200, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-442-6520 |