NPI age
17 years
Enumerated 2008-11-20
Across 575 active nurse anesthetist, certified registered providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 2701125 | REGENCE |
| 01 | P00725584 | RAILROAD MEDICARE |
| 05 (ID) | 1023263894 | |
| 05 (OR) | 500603268 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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