Professional Anesthesia Services
Nurse Anesthetist, Certified Registered in Burley, ID. Organization (NPI-2).
NPI number1295842920
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1295842920
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Anesthesia Services
- Organization subpart
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | N21337 | ID | Yes |
Other names
- Garrett Professional Anesthesia Services (Former Legal Business Name)
Practice location
1344 Hiland Ave Ste EBurley, ID 83318-1564
Phone 208-677-8888 · Fax 208-678-5833
Mailing address
1601 E 17th StIdaho Falls, ID 83404-6313
Phone 208-525-2090 · Fax 208-525-2662
Authorized official
Julie M Acarregui
President
2085874833
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