NPI age
18 years
Enumerated 2008-01-30
Across 575 active nurse anesthetist, certified registered providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 008644600 | |
| 01 (ID) | A0348 | BLUE CROSS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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