| NPI | 1710495452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER JOYCE NASKER C RN A 208-895-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 25517) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |