NPI age
12 years
Enumerated 2014-05-19
● Active
Type 1 · Individual
Grant Gundersen, CNRA
Gundersen is 1 of 20 nurse anesthetist, certified registered providers in Blackfoot and 1 of 575 in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-05-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-05Enumerated in NPPES
2014
2026
Where they practice
Practice location
646 W 300 S
Blackfoot, ID 832216334
Mailing address
646 W 300 S
Blackfoot, ID 832216334
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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