Individual
TODD W BAUERNFEIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
601 W 5TH AVE, SUITE 500, SPOKANE, WA 99204-2756
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE, SUITE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN00126402
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010147512
REGENCE BLUE SHIELD OF ID
ID
01
—
0185165
DEPT OF LABOR & INDUSTRIE
WA
01
—
192439200
OWCP
WA
01
—
28402
GROUP HEALTH NW
WA
05
—
4303897
—
MT
05
—
805290000
—
ID
01
—
8938960
CRIME VICTIMS
WA
01
—
9544BA
ASURIS NW HEALTH
WA
05
—
9623166
—
WA
01
—
P00130913
RR MEDICARE
WA
Enumeration date
03/10/2006
Last updated
11/15/2024
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