NPI 1043568892

Jaxon Dean Anderson, CRNA

Practitioner Certified Registered Nurse Anesthetist Idaho Falls, ID

Practice location

Address: 2325 Coronado St, Idaho Falls, ID 83404-7407
Phone: (208) 557-2700
Mailing address: PO Box 4268, Portland, OR 97208-4268

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 847A (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence N-36657 (ID)

Other Registered Nurse providers in Idaho →

Registry record

NPI: 1043568892
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2012
Record last updated: 21 Jul 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.