Individual
SKYLAR JAMES THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
(208) 367-2742
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
51767
ID
367500000X
Certified Registered Nurse Anesthetist
136302
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
76725
ID
Other
Enumeration date
10/17/2021
Last updated
10/23/2023
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