Gary R Johanson CRNA

  • NPI 1700836418
According to our database, the NPI number for Gary R Johanson CRNA is 1700836418 and activated since 18 years ago. Gary R Johanson CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 1950 E Clark St, Pocatello, ID 83201. You can also contact Gary R Johanson CRNA via telephone number is (208) 232-7760. Provider NPI information was last updated on 10/19/2011.

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Overview of Gary R Johanson CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/11/2006
  • Last updated: 10/19/2011

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: RNA-28A
  • License State: ID

Provider Mailing Address

  • Address: Po Box 4107
    Pocatello, ID 83205
  • Phone: 208-232-7760
  • Fax: 208-232-1950

Provider Practice Location

  • Address: 1950 E Clark St
    Suite G
    Pocatello, ID 83201
  • Phone: 208-232-7760
  • Fax: 208-232-1950

Scope of Practice

  • Taxonomy Code: 163W00000X
  • Specialty: Registered Nurse
  • License Number: N15687
  • License State: ID
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 004371700
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gary R Johanson CRNA?
  • A: The npi number for Gary R Johanson CRNA is 1700836418.
  • Q: What are Gary R Johanson CRNA's specialties?
  • A: Gary R Johanson CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Gary R Johanson CRNA?
  • A: The medical license number for Gary R Johanson CRNA is RNA-28A and issued in ID in USA.
  • Q: Where is Gary R Johanson CRNA practice location?
  • A: Gary R Johanson CRNA is practicing at 1950 E Clark St, Pocatello, ID 83201.
  • Q: How to contact Gary R Johanson CRNA?
  • A: You can contact Gary R Johanson CRNA via 208-232-7760.