Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY R JOHANSON, CRNA
ActiveGARY R JOHANSON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in POCATELLO, Idaho. NPI 1700836418 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · POCATELLO, ID
Registration Details
- NPI Number
- 1700836418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.220737957405 yrs)
- Last Updated
- Oct 19, 2011
- Licenses
-
N15687 (ID)RNA-28A (ID)
Practice Information
- Address
-
1950 E CLARK STSUITE GPOCATELLO, ID, 832013314Browse ID providers · Browse ZIP 83201
- Phone
- 2082327760
- Fax
- 2082321950
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| MR. BENSON S ROPER | CRNA | 1336199264 |
| KAREN DONCOUSE | CRNA | 1053361980 |
| DALE T KNIEVEL | CRNA | 1568412278 |
| TAMMY L SKIDMORE | CRNA | 1427008176 |
| ALEX J BRINGHURST | CRNA | 1659325330 |
| MR. BEAU S. DANIEL | CRNA | 1760712327 |
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.