is a Nurse Anesthetist, Certified Registered in Boise, Idaho. practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for is 1124079785. The last update date is .
's current location address is 1055 N Curtis Rd, Boise, Idaho. You can contact this provider via phone number 2083676416. The mailing address for is 1055 N Curtis Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1055 N Curtis Rd, Boise, Idaho |
Phone Number | 2083676416 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1124079785 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1055 N Curtis Rd |
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City | Boise |
State | Idaho (ID) |
Post Code | 8370613520 |
Phone Number | 2083676416 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | RNA636 |
Definition: (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 management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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274009 | OR | -- | |
9647470 | WA | -- | |
807313400 | ID | -- |
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