Amber Davidson Streeper, CRNA
Nurse Anesthetist, Certified Registered in Boise, ID. Individual provider (NPI-1).
NPI number1649453028
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1649453028
- Entity type
- Individual (NPI-1)
- Name
- Amber Davidson Streeper
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2007
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA-716A | ID | Yes |
Practice location
1055 N Curtis RdBoise, ID 83706-1309
Phone 801-921-3978
Mailing address
Po Box 7411114Chicago, IL 60674-1114
Phone 208-367-5170 · Fax 208-367-5180
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