Organization
ALPINE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA HATCH CRNA (OWNER)
(208) 680-8478
Entity
Organization
Contact information
Practice address
3345 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 528-2858
Mailing address
PO BOX 1385, IDAHO FALLS, ID 83403-1385
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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