| NPI | 1588160881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU SUMMERS DANIEL President 208-604-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-936A) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-10 |