Carlene M Canfield, CRNA
Nurse Anesthetist, Certified Registered in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1104003326
StatusActive
Last updated in NPPESApr 7, 2011
Details
- NPI
- 1104003326
- Entity type
- Individual (NPI-1)
- Name
- Carlene M Canfield
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2008
- Last updated
- Apr 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | N-15497 | ID | Yes |
Practice location
1601 E 17th StIdaho Falls, ID 83404-6313
Phone 208-525-2090 · Fax 208-525-2662
Mailing address
1601 E 17th StIdaho Falls, ID 83404-6313
Phone 208-525-2090 · Fax 208-525-2662
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