Organization
EW ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE WEBB CRNA (PRESIDENT)
(208) 967-4864
Entity
Organization
Contact information
Practice address
30544 HIGHWAY 200 STE 201, PONDERAY, ID 83852-5005
(208) 265-8194
Mailing address
713 N CENTER VALLEY RD, SANDPOINT, ID 83864-7149
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043524242
WEBB
ID
05
—
1043524242
—
NC
Enumeration date
04/22/2024
Last updated
06/17/2024
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