NPI 1548600745

Brian Lorin Bullock, CRNA

Practitioner Certified Registered Nurse Anesthetist Lewiston, ID

Practice location

Address: 415 6th St, Lewiston, ID 83501-2431
Phone: (239) 896-3934
Mailing address: 1827 Birch Dr, Lewiston, ID 83501-6060

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 6631838-4406 (UT)

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 261722 (NC)

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA-932A (ID)

Registry record

NPI: 1548600745
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2013
Record last updated: 15 Nov 2021

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.