Individual
PATRICK W FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1705 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3444
(208) 765-8585
(208) 765-8486
Mailing address
205 PARK DR, COEUR D ALENE, ID 83814-2148
(208) 667-4102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA87
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004366800
—
ID
Enumeration date
04/05/2006
Last updated
05/08/2013
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