Elise Marie Anderson, DNP is a
Student In An Organized Health Care Education/training Program based in Salt Lake City, Utah. Elise Marie Anderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
500 Foothill Dr, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 582-1565.
NPI number for Elise Marie Anderson is 1669160792 and her current mailing address is 4619 S Russell St, Holladay, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669160792.
Provider's Profile
| Full Name | Elise Marie Anderson |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 500 Foothill Dr, Salt Lake City, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669160792
- Provider Enumeration Date: 04/26/2023
- Last Update Date: 05/02/2024
Medical Identifiers
Medical identifiers for Elise Marie Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669160792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 12096000-3102 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elise Marie Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elise Marie Anderson, DNP
4619 S Russell St,
Holladay, UT 84117-4548
Ph: (801) 949-4016 | Elise Marie Anderson, DNP
500 Foothill Dr,
Salt Lake City, UT 84148-4548
Ph: (801) 582-1565 |
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