NPI 1033159439

Diana San Juan Shimko, CRNA

Practitioner Certified Registered Nurse Anesthetist Boise, ID

Practice location

Address: 1055 N Curtis Rd, Boise, ID 83706-1352
Phone: (208) 367-6416
Mailing address: 6397 S Olive St, Centennial, CO 80111-4632

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA664 (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1033159439
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2006
Record last updated: 6 Jun 2012

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.