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Michelene Morin, CRNA

Nurse Anesthetist, Certified Registered in Coeur D Alene, ID. Individual provider (NPI-1).

NPI number1194473769
StatusActive
Last updated in NPPESApr 18, 2023

Details

NPI
1194473769
Entity type
Individual (NPI-1)
Name
Michelene Morin
Credential
CRNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 14, 2022
Certification date
Apr 12, 2023
Last updated
Apr 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered75764IDYes
163W00000X Registered Nurse0001242619VA

Practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Phone 208-625-6400

Mailing address

Po Box 35145 #40023
Seattle, WA 98124-5145

Other practice locations

921 Grove Ln
Roanoke, VA 24012-1003

Phone 276-620-0683

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