Organization
WIMMIS SLEEP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER STUCKI CRNA (OWNER)
(801) 510-1443
Entity
Organization
Contact information
Practice address
2264 E CINEMA DR, MERIDIAN, ID 83642-8249
(208) 381-0262
(208) 429-8575
Mailing address
PO BOX 2513, IDAHO FALLS, ID 83403-2513
(800) 338-5378
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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