Individual provider · Type 1 NPI

Ethan Danny Anderson

Student in an Organized Health Care Education/Training Program · Joplin, MO

NPI number 1376450825 Active

Practice location

3001 St Johns Blvd
Joplin, MO 64804

Call (417) 208-0805 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376450825

Ethan Danny Anderson's National Provider Identifier is 1376450825, issued on Aug 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Joplin, MO. The record was last updated on Aug 27, 2026.