Individual provider · Type 1 NPI

Gary R. Johanson, CRNA

Certified Registered Nurse Anesthetist · Pocatello, ID

NPI number 1700836418 Active

Practice location

1950 E Clark St, Suite G
Pocatello, ID 83201-3314

Fax (208) 232-1950

Mailing address

PO Box 4107
Pocatello, ID 83205-4107

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XN15687 (ID)
Certified Registered Nurse Anesthetist Primary 367500000XRNA-28A (ID)

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 1700836418

Gary R. Johanson, CRNA's National Provider Identifier is 1700836418, issued on May 11, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 19, 2011.