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

GAVIN BRUDERER, CRNA, MSNA

Active Sole Proprietor

GAVIN BRUDERER, CRNA, MSNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in CALDWELL, Idaho. NPI 1427730910 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · CALDWELL, ID

Registration Details

NPI Number
1427730910
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2023 (2.9871919887178 yrs)
Last Updated
Sep 16, 2024
Licenses
11277587-3102 (UT)
57794 (ID)
Sole Proprietor
Yes

Practice Information

Address
1717 ARLINGTON AVE
CALDWELL, ID, 836054802
Browse ID providers · Browse ZIP 83605
Phone
2084594641
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in CALDWELL, ID

Name Credential NPI
LARRY EDGERTON CRNA 1215082599
SHAD B WESTOVER CRNA 1407031180
TRAVIS HENDERSON CRNA 1093258386
DANIEL BONILLA CRNA 1386408730
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.