Individual
JOANNA M MINETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 W IRONWOOD DR STE 250, COEUR D ALENE, ID 83814-1415
(208) 765-8585
Mailing address
PO BOX 35145 #40023, SEATTLE, WA 98124-5145
(425) 407-1000
(425) 407-1112
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
58330
ID
367500000X
Certified Registered Nurse Anesthetist
AP60975346
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2019
Last updated
07/18/2019
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