Individual provider · Type 1 NPI

Taelor Nicole Anderson

Nurse Practitioner · Nampa, ID

NPI number 1003774605 Active

Practice location

16818 N Marketplace Blvd
Nampa, ID 83687-5140

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2771785 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003774605

Taelor Nicole Anderson's National Provider Identifier is 1003774605, issued on Jan 12, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Nampa, ID. The record was last updated on Jan 12, 2026.