Kurt Brandon Hiatt CRNA

NPI 1750521548 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1750521548
Gender Male
Enumeration Date 03/06/2009
Last Updated 06/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
111 W STATE ST
BOISE ID, 83702-6127, US
Phone (208) 336-0895
Fax (208) 338-1796
Business Location
111 W STATE ST
BOISE ID, 83702-6127, US
Phone (208) 336-0895
Fax (208) 338-1796
Toxanomy
Taxonomy Code 367500000X
License State Idaho
License Number RNA753
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According to our database, Kurt Brandon Hiatt CRNA NPI is 1750521548, taxonomy code is 367500000X and license number is RNA753, license state is located at Idaho. Kurt Brandon Hiatt CRNA physically located at 111 W State St, Boise ID, 83702-6127. NPI Number Kurt Brandon Hiatt CRNA has the Individual type.

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1750521548 NPI number is provided on an as is basis without warranty of any kind. 1750521548 is maintained by the National Plan & Provider Enumeration System. The contents of Kurt Brandon Hiatt CRNA are for informational purposes only.