| NPI | 1275074486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WINTERBOTTOM President 208-883-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-02-13 |