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General NPI Number Information
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NPI Number | 1295992097
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Entity Type | Individual
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Provider Name | MICHAEL R ANDERSON RN, APRN
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Gender | Male
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 6650 S VINE ST STE 100
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City | CENTENNIAL
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State | CO
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Zip | 80121-2740
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Country | US
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Telephone | 303-535-7548
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Fax |
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Provider Business Mailing Address
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Address Line | 474 W 200 N STE#300
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City | ST GEORGE
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State | UT
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Zip | 84770-4505
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Country | US
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Telephone | 435-634-5600
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Fax | 435-986-8700
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1001330-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 6685217-3102
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 6685217-3101
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 6685217-4405
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License Number State | UT
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