NPI age
19 years
Enumerated 2007-01-25
Across 575 active nurse anesthetist, certified registered providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 000000761936 | ANTHEM |
| 05 (IN) | 201063590 |
Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.
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