NPI age
3 years
Enumerated 2023-02-07
Across 575 active nurse anesthetist, certified registered providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | RN747079 | PA RN LICENSE |
Part of a multi-provider practice. 194 other active providers share this practice address in NPPES.
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