Eileen Sherry Boge, CRNA
Nurse Anesthetist, Certified Registered in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1851332449
StatusActive
Last updated in NPPESSep 1, 2010
Details
- NPI
- 1851332449
- Entity type
- Individual (NPI-1)
- Name
- Eileen Sherry Boge
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2006
- Last updated
- Sep 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN12311 | ID | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | APN88641 | OK | |
| 367500000X | Nurse Anesthetist, Certified Registered | APN28173153A | IN |
Other names
- Eileen Sherry Baer (Former Name)
Practice location
670 E Countryside LnIdaho Falls, ID 83404-7600
Phone 208-524-3417
Mailing address
670 E Countryside LnIdaho Falls, ID 83404-7600
Phone 208-524-3417
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