Individual
DAN LYLE CHRISTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 W STATE ST, BOISE, ID 83702-6127
(208) 336-0028
Mailing address
5953 N PARCHMENT PL, BOISE, ID 83713-1225
(208) 938-1584
(254) 778-7197
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-516A
ID
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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