GARY JOHANSON, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1700836418
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | N15687 (ID) |
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | RNA-28A (ID) |
Frequently Asked Questions
NPI 1700836418 is the National Provider Identifier for GARY JOHANSON, CRNA, a Nurse Anesthetist, Certified Registered provider located in Pocatello, ID. This NPI was enumerated on May 11, 2006.
GARY JOHANSON, CRNA practices at 1950 E CLARK ST, SUITE G, Pocatello, ID 83201.
Quick Facts
- NPI
- 1700836418
- Type
- Individual
- Enumerated
- May 11, 2006
- Last Updated
- Oct 19, 2011
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