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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN CARROLL

Active

BRIAN CARROLL is a Certified Nurse Anesthetist (CRNA) healthcare provider located in HAYDEN, Idaho. NPI 1417449810 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · HAYDEN, ID

Registration Details

NPI Number
1417449810
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2018 (8.2203169305385 yrs)
Last Updated
Oct 31, 2024
Licenses
RN60272088 (WA)
AP60872413 (WA)
57988 (ID)

Practice Information

Address
8552 N GOVERNMENT WAY
HAYDEN, ID, 838359280
Browse ID providers · Browse ZIP 83835
Phone
2087727600
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.