NPI 1013158807

Jordan B Wolff, CRNA

Practitioner Certified Registered Nurse Anesthetist Boise, ID

Practice location

Address: 111 W State St, Boise, ID 83702-6127
Phone: (208) 336-0895
Fax: (208) 338-1796

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA749 (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1013158807
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2009
Record last updated: 9 Mar 2009

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.