| NPI | 1134926181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE THOMAS SHIBLEY Managing Partner 208-660-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |