Organization · Type 2 NPI

Ambulatory Surgery Center of Burley, LLC

Certified Registered Nurse Anesthetist · Burley, ID

NPI number 1780103507 Active

Practice location

1344 Hiland Ave Ste E
Burley, ID 83318-1564

Fax (208) 678-5833

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist Primary	367500000X	None listed

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…

Another provider at this address

Professional Anesthesia ServicesCertified Registered Nurse Anesthetist Burley, ID NPI 1295842920

Other certified registered nurse anesthetist providers in Burley

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NPI record

NPI: 1780103507
Entity type: Organization (Type 2)
Issued: Sep 13, 2017
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Ambulatory Surgery Center of Burley, LLC

Other names

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Ambulatory Surgery Center of Burley Anesthesia · other name

Authorized official

Joseph R Petersen, MD
CEO
(208) 677-8888

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780103507

Ambulatory Surgery Center of Burley, LLC's National Provider Identifier is 1780103507, issued on Sep 13, 2017. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Burley, ID. The record was last updated on Jul 21, 2022.