NPI age
18 years
Enumerated 2007-12-03
Across 575 active nurse anesthetist, certified registered providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (CO) | 160305 | COLORADO LICENSE |
| 01 (ID) | RNA-866A | IDAHO LICENSE |
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
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