| NPI | 1598808107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE CROFT Billing Office Manager 208-525-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-36) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |