Caitlyn Marie Anderson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ogden, UT

NPI 1013349778 · NPPES record last updated Aug 5, 2013

Key facts

NPI
1013349778
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
5150 S Washington Blvd
Ogden, UT 84405-4506
Phone
(801) 337-0067
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

5150 S Washington Blvd
Ogden, UT 84405-4506

Mailing address

1041 N 400 W
Blanding, UT 84511-3420
Phone (208) 221-0505

Other names

  • Caitlyn Marie Anderson Former name

Other providers in Ogden, UT

All providers in Ogden, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.