Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL HAYWARD ELLISON, CRNA
Active Sole ProprietorSAMUEL HAYWARD ELLISON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in COEUR D ALENE, Idaho. NPI 1811627250 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1811627250
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2022 (4.1642183702666 yrs)
- Last Updated
- Jun 16, 2022
- License
-
43-557976-071 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2003 KOOTENAI HEALTH WAYCOEUR D ALENE, ID, 838146051Browse ID providers · Browse ZIP 83814
- Phone
- 5094324529
- Fax
- 2087658486
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| TRENT MUNYER | CRNA | 1154313781 |
| MS. NURIA M MARTINEZ | CRNA | 1063472850 |
| A JAMES FOOTE | CRNA | 1861454605 |
| PATRICK W FLYNN | CRNA | 1225090061 |
| MR. STEVE JOHN KIMM | CRNA | 1851353429 |
| STEPHEN F AYERS | CRNA | 1689637928 |
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.