Individual
MR. KYLE P. NOORLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2559
Mailing address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
(208) 367-2742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83133
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
61748
ID
Other
Enumeration date
04/23/2019
Last updated
11/20/2020
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