NPI 1376976456

Dustin Lee Elben, CRNA

Practitioner Certified Registered Nurse Anesthetist Lewiston, ID

Practice location

Address: 415 6th St, Lewiston, ID 83501-2431
Phone: (208) 743-2511
Mailing address: PO Box 94743 Ms 631052, Seattle, WA 98124-7043

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA-879A (ID)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1376976456
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2013
Record last updated: 13 Aug 2013

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.