WADE MOYLE ANDERSON (NPI# 1578749123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578749123 |
| Entity Type | Individual |
| Full Name | WADE MOYLE ANDERSON |
| Credential | PA-C |
| Practice Address |
85 N. 100 E. Suite A Gunnison UT 84634-0849 |
| Mailing Address |
Po Box 849 Suite A Gunnison UT 84634-0849 |
| Practice Telephone | 4355287202 |
| Practice Fax Number | 4355283624 |
| Mailing Telephone | 4355287202 |
| Mailing Fax Number | 4355283624 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SE0003X |
Clinical Nurse Specialist Specialization: Emergency |
6817642-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
6817642-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658339 | Wade Brian Anderson | Psychologist | 90 Grandview Ave, Pleasantville, NY 10570-2035 | 2020-04-18 |
| 1154408243 | Wade Gregory Anderson | Social Worker | 1713 Eagle Trace Blvd, Palm Harbor, FL 34685-3313 | 2006-11-01 |
| 1679559439 | Wade E Anderson | Family Medicine | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2005-12-22 |
| 1407360209 | Wade Anderson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-12-01 |
| 1093992703 | Wade Lee Anderson | Pharmacist | 50 N Main St, Deerfield, WI 53531-9453 | 2008-01-24 |
| Street Address |
85 N. 100 E. SUITE A |
| City | GUNNISON |
| State | UT |
| Zip Code | 84634-0849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497871099 | Dwight Hideo Inouye | Family Medicine | 85 N. 100 E., Suite A, Gunnison, UT 84634-0849 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659863504 | Jace Edward Anderson | Occupational Therapist | 13 E. Center Street, Gunnison, UT 84634 | 2018-06-05 |
| 1225526957 | Hillary May Palmer | Occupational Therapist | 13 E Center St., Gunnison, UT 84634 | 2018-04-27 |
| 1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
| 1679954499 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 38 West Center Street, Gunnison Civic Library, Gunnison, UT 84634 | 2015-06-17 |
| 1932598166 | Arch Health and Wellness LLC | Chiropractor | 34 East 100 North, Gunnison, UT 84634 | 2015-01-12 |
| 1982011649 | Teen Discovery Home | Residential Treatment Facility, Emotionally Disturbed Children | 10 East 100 South, Gunnison, UT 84634 | 2014-07-15 |
| 1982039590 | G Thrift Corporation Inc | Pharmacy | 520 S Main, Gunnison, UT 84634 | 2013-09-13 |
| 1528321627 | Scott Joseph Walker | Family Medicine | 65 E. 100 N., Gunnison, UT 84634 | 2012-06-22 |
| 1124313507 | Matthew Brian Barney | Physical Therapist | 13 E Center St, Gunnison, UT 84634 | 2011-06-14 |
| 1922285261 | Rhonda Elaine Stewart | Counselor | 255e 300n, Gunnison, UT 84634 | 2008-01-29 |
| Find all providers in zip 84634 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790036689 | Sharon Renae Davis | Clinical Nurse Specialist | 5869 W Muirwood Dr, Herriman, UT 84096-8203 | 2012-10-02 |
| 1033653233 | Andrea Life Investment Enterprises | Clinical Nurse Specialist | 4400 S 700 E Ste 201, Millcreek, UT 84107-3053 | 2016-12-07 |
| 1316307515 | Janice L. Schorr, Fnp, Health Clinic, L.L.C. | Clinical Nurse Specialist | 32 W 200 S # 132, Salt Lake City, UT 84101-1603 | 2016-03-01 |
| 1023272085 | John Montford Jex | Clinical Nurse Specialist | 8 Th Ave & C St, Salt Lake City, UT 84143-0001 | 2008-07-17 |
| 1184800047 | Janice Robinson | Clinical Nurse Specialist | 1305 N Commerce Dr, Saratoga Springs, UT 84045-5305 | 2008-01-10 |
| 1811176761 | Brandi Bolton-orr | Clinical Nurse Specialist | 2000 S 900 E, Slc, UT 84105-3208 | 2007-10-29 |
| 1700077229 | Hitomi Nashiyama | Clinical Nurse Specialist | 3215 Valley St, Salt Lake City, UT 84109-4217 | 2007-08-08 |
| 1083705735 | Kimberly Mortenson | Clinical Nurse Specialist | 48 N 1100 E, Suite C, American Fork, UT 84003-2910 | 2006-09-27 |
Please comment or provide details below to improve the information on WADE MOYLE ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.