NPI 1114980455

Richard J Gerhard, CRNA

Practitioner Certified Registered Nurse Anesthetist Coeur D Alene, ID

Practice location

Address: 1705 N Government Way, Coeur D Alene, ID 83814-3444
Phone: (208) 765-8585
Fax: (208) 765-8486
Mailing address: 3043 N Rampart Rd, Coeur D Alene, ID 83814-7852

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA22 (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1114980455
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2006
Record last updated: 28 Sep 2010

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.