STACY M SWEENEY

BOISE, ID
NPI1730415167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-843A)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  R82265)
Enumeration Date2009-10-20
Last Update Date2016-12-28
Business Address
-- STACY M SWEENEY CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895
Mailing Address
-- STACY M SWEENEY CRNA
338 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-336-0895