Organization · Type 2 NPI

Moose Creek Anesthesia PC

Certified Registered Nurse Anesthetist · Idaho Falls, ID

NPI number 1922990035 Active

Practice location

3925 Washington Pkwy
Idaho Falls, ID 83404-7596

Call (208) 201-4973 Map

Mailing address

5341 Tildy Ln
Idaho Falls, ID 83401-6038

Other practice locations

23 Sawtelle Ave, Rexburg, ID 83440-1499 · (208) 734-7362

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…

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About NPI 1922990035

Moose Creek Anesthesia PC's National Provider Identifier is 1922990035, issued on Jul 15, 2025. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Idaho Falls, ID. The record was last updated on Nov 6, 2025.