Alpine Anesthesia LLC
Nurse Anesthetist, Certified Registered in Idaho Falls, ID. Organization (NPI-2).
NPI number1679302137
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1679302137
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpine Anesthesia LLC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2024
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
3345 S Holmes AveIdaho Falls, ID 83404-7981
Phone 208-528-2858
Mailing address
Po Box 1385Idaho Falls, ID 83403-1385
Phone 208-525-2090 · Fax 208-523-8978
Authorized official
Brenda Hatch
Owner
2086808478
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