Individual provider · Type 1 NPI

Bonnie Lea Mack, CRNA

Certified Registered Nurse Anesthetist · Mountain Home A F B, ID

NPI number 1598747701 Active

Practice location

90 Hope Dr
Mountain Home A F B, ID 83648-1057

Mailing address

1085 Julia St
Mountain Home, ID 83647-4687

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X625810 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1598747701

Bonnie Lea Mack, CRNA's National Provider Identifier is 1598747701, issued on Nov 15, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Mountain Home A F B, ID. The record was last updated on Jun 14, 2010.