NPI age
19 years
Enumerated 2006-08-25
● Active
Type 1 · Individual
MR. Walter R Fetterley II, CRNA
Fetterley is 1 of 227 nurse anesthetist, certified registered providers in Boise 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
2008-11-20
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
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
621 Reserve St
Boise, ID 837126354
Mailing address
621 Reserve St
Boise, ID 837126354
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807168100 | |
| 05 (KS) | 200576850A |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse anesthetist, certified registered providers have been added in Boise in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 575 Nurse Anesthetist, Certified Registered providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.