Individual provider · Type 1 NPI

David Nicholson, C.R.N.A.

Certified Registered Nurse Anesthetist · Ketchum, ID

NPI number 1912985755 Active

Practice location

100 Hospital Dr
Ketchum, ID 83340

Fax (208) 727-8124

Mailing address

7154 W State St Ste 119
Boise, ID 83714-7421

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000XCRNA00752 (NM)
Certified Registered Nurse Anesthetist 367500000XNA95000124 (CA)
Certified Registered Nurse Anesthetist Primary 367500000X59928 (ID)
Certified Registered Nurse Anesthetist 367500000XR48739 (NM)

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 1912985755

David Nicholson, C.R.N.A.'s National Provider Identifier is 1912985755, issued on Jan 3, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Ketchum, ID. The record was last updated on Mar 15, 2026.