Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL A DICKINSON, CRNA
Active Sole ProprietorPAUL A DICKINSON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JEROME, Idaho. NPI 1912137175 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · JEROME, ID
Registration Details
- NPI Number
- 1912137175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2009 (17.06548009183 yrs)
- Last Updated
- Jul 22, 2009
- License
-
20013 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
709 N LINCOLN AVEJEROME, ID, 833381851Browse ID providers · Browse ZIP 83338
- Phone
- 2083244301
- Fax
- 2083249529
- 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.