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TIMOTHY POWELL

Certified Registered Nurse Anesthetist

NPI: 1972617363Individual

Specialties, Licenses & Credentials

Certified Registered Nurse AnesthetistPrimary

Nurse Anesthetist, Certified Registered

Code: 367500000X

RNA-579(ID)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2003

Contact & Hours

Address
111 W STATE ST
BOISE, ID 83702

Quick Facts

NPI
1972617363
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1
Years in Practice
23

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