Individual
DARREL PAULUS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10118 W OVERLAND RD, BOISE, ID 83709-1428
(208) 450-3856
Mailing address
10118 W OVERLAND RD, BOISE, ID 83709-1428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
118966
OK
163W00000X
Registered Nurse
53419
ID
367500000X
Certified Registered Nurse Anesthetist
118966
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
53419
ID
Other
Enumeration date
10/23/2015
Last updated
07/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us