BRYAN WILLIAM LEUENHAGEN

BOISE, ID
NPI1649226168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA538)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  N31597)
Enumeration Date2006-05-26
Last Update Date2023-09-29
Business Address
BRYAN WILLIAM LEUENHAGEN CRNA
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-367-6416
Mailing Address
BRYAN WILLIAM LEUENHAGEN CRNA
PO BOX 741114
CHICAGO, IL 60674-0001
Phone number: 208-367-5170