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MICHELLE M. ANDERSON, FNP P.A.

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Company Details

Name: MICHELLE M. ANDERSON, FNP P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 02 Feb 2009 (16 years ago)
Financial Date End: 28 Feb 2023
Date dissolved: 03 Feb 2023
Entity Number: 549732
Place of Formation: IDAHO
File Number: 549732
ZIP code: 83646
County: Ada County
Mailing Address: 3819 N RHODES AVE MERIDIAN, ID 83646-4190

Agent

Name Role Address
MICHELLE ANDERSON Agent 3819 N RHODES AVE, MERIDIAN, ID 83646

President

Name Role Address Appointed On
Michelle M Anderson President 3819 N RHODES AVE, MERIDIAN, ID 83646-4190 2021-01-07

National Provider Identifier

NPI Number:
1396983052

Authorized Person:

Name:
MICHELLE M ANDERSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2082652229

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0005093825 2023-02-03
Annual Report 0004622600 2022-02-24
Annual Report 0004122111 2021-01-07
Annual Report 0003765980 2020-02-04
Annual Report 0003438915 2019-02-28

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Date of last update: 08 Jun 2025

Sources: Idaho Secretary of State