NPI age
19 years
Enumerated 2006-08-05
Across 575 active nurse anesthetist, certified registered providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 9647637 | |
| 05 (ID) | 808034000 | |
| 01 (WA) | P00307699 | RAILROAD MEDICARE |
Part of a multi-provider practice. 107 other active providers share this practice address in NPPES.
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