NPI 1023555174

Jordan Idso, CRNA

Practitioner Certified Registered Nurse Anesthetist Fargo, ND

Practice location

Address: 801 Broadway N, Fargo, ND 58102-3641
Phone: (701) 234-2868
Mailing address: PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R36530 (ND)

Other Nurse Anesthetist, Certified Registered providers in North Dakota →

Registry record

NPI: 1023555174
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2017
Record last updated: 19 May 2022

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.