Treasure Valley Anesthesia PC
Nurse Anesthetist, Certified Registered in Ontario, OR. Organization (NPI-2).
NPI number1215992003
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1215992003
- Entity type
- Organization (NPI-2)
- Legal business name
- Treasure Valley Anesthesia PC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2006
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
351 Sw 9th StOntario, OR 97914
Phone 541-881-7140
Mailing address
24442 Nubian Goat CtCaldwell, ID 83607-8525
Phone 208-604-0348
Authorized official
Cole R Shawver
President
2086040348
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