NPI 1174557011

Charles Stiff, CRNA

Practitioner Certified Registered Nurse Anesthetist Meridian, ID

Practice location

Address: 520 S Eagle Rd Suite 3104, Meridian, ID 83642-6308
Phone: (208) 373-1200
Mailing address: PO Box 2203, Idaho Falls, ID 83403-2203

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence N-25781 (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1174557011
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2006
Record last updated: 8 Jul 2007

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.