INNOVATIVE ANESTHESIA

Nurse Anesthetist, Certified Registered

Active Organization
NPI: 1902036734

Practice Address

30544 HIGHWAY 200 STE 201
PEND OREILLE SURGERY CENTER
Ponderay, ID 83852

Phone: (208) 265-8194

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes RNA-491A (ID)

Frequently Asked Questions

NPI 1902036734 is the National Provider Identifier for INNOVATIVE ANESTHESIA, a Nurse Anesthetist, Certified Registered provider located in Ponderay, ID. This NPI was enumerated on July 14, 2009.

Quick Facts

NPI
1902036734
Type
Organization
Enumerated
Jul 14, 2009
Last Updated
Jul 14, 2009

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