| NPI | 1992884928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EVANS Owner 208-736-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID N-23594) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |