NPI age
19 years
Enumerated 2006-08-12
Across 575 active nurse anesthetist, certified registered providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | G2912 | BCBS OF FLORIDA |
| 05 (FL) | 3079228-00 | |
| 01 (FL) | 430065561 | RR MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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