NPI 1023263894

Justin R Gibb, CRNA

Practitioner Certified Registered Nurse Anesthetist Meridian, ID

Practice location

Address: 1828 S Millenium Way, Meridian, ID 83642-5036
Phone: (208) 381-0262
Mailing address: PO Box 2263, Idaho Falls, ID 83403-2263

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 200860041CRNA (OR)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA728 (ID)

Registry record

NPI: 1023263894
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2008
Record last updated: 21 May 2025

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.