NPI 1073344651

Blue Lakes Anesthesia

Organisation Certified Registered Nurse Anesthetist Twin Falls, ID

Practice location

Address: 2092 Dawson Dr, Twin Falls, ID 83301-3195
Phone: (208) 734-7362
Mailing address: 3849a N 3700 E, Hansen, ID 83334-5039

Authorised official

Name: Thad Hollist
Title: Managing Member
Phone: (208) 520-0035

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1073344651
Entity type: Organization
NPI issued: 13 Aug 2024
Record last updated: 21 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.