Individual provider · Type 1 NPI

Nicholas Anderson, PA-C

Physician Assistant · Idaho Falls, ID

NPI number 1093281016 Active

Practice location

3200 Channing Way Ste 206
Idaho Falls, ID 83404-7546

Call (208) 529-2230 Map

Fax (208) 453-6142

Mailing address

3200 Channing Way Ste A206
Idaho Falls, ID 83404-7586

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-1788 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093281016

Nicholas Anderson, PA-C's National Provider Identifier is 1093281016, issued on Oct 17, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 9, 2026.