Carlene M Canfield CRNA

NPI 1104003326 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1104003326
Gender Female
Enumeration Date 01/30/2008
Last Updated 04/07/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1601 E 17TH ST
IDAHO FALLS ID, 83404-6313, US
Phone (208) 525-2090
Fax (208) 525-2662
Business Location
1601 E 17TH ST
IDAHO FALLS ID, 83404-6313, US
Phone (208) 525-2090
Fax (208) 525-2662
Toxanomy
Taxonomy Code 367500000X
License State Idaho
License Number N-15497
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According to our database, Carlene M Canfield CRNA NPI is 1104003326, taxonomy code is 367500000X and license number is N-15497, license state is located at Idaho. Carlene M Canfield CRNA physically located at 1601 E 17th St, Idaho Falls ID, 83404-6313. NPI Number Carlene M Canfield CRNA has the Individual type.

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1104003326 NPI number is provided on an as is basis without warranty of any kind. 1104003326 is maintained by the National Plan & Provider Enumeration System. The contents of Carlene M Canfield CRNA are for informational purposes only.