NPI age
19 years
Enumerated 2006-08-13
Across 575 active nurse anesthetist, certified registered providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 89250 | BLUE CROSS GROUP # |
| 01 (ID) | 000010017281 | REGENCE |
| 01 (ID) | A4092 | BLUE CROSS |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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