Organization
LESLIEANN SCHWEIGER CRNA CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIEANN SCHWEIGER CRNA (OWNER)
(208) 854-1703
Entity
Organization
Contact information
Practice address
1601 E 17TH ST, IDAHO FALLS, ID 83404-6313
(208) 525-2090
(208) 525-2662
Mailing address
9369 W PANDION CT, BOISE, ID 83714-6715
(208) 854-1703
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N28781
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805563900
—
ID
Enumeration date
07/16/2009
Last updated
07/16/2009
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