NPI 1588160881

Daniel Anesthesia PC

Organisation Certified Registered Nurse Anesthetist Pocatello, ID

Practice location

Address: 285 Vista Dr, Pocatello, ID 83201-4987
Phone: (208) 478-1704
Mailing address: PO Box 3363, Idaho Falls, ID 83403-3363

Authorised official

Name: Beau Summers Daniel
Title: President
Phone: (208) 604-7084

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA-936A (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1588160881
Entity type: Organization
NPI issued: 4 Apr 2018
Record last updated: 10 Apr 2018

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.