Individual
MS. LOUANN SITES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
90 HOPE DR, MOUNTAIN HOME A F B, ID 83648-1057
(208) 828-7370
Mailing address
1530 PEREGRINE DR, MOUNTAIN HOME, ID 83647-4434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN039094
AZ
Other
Enumeration date
08/26/2005
Last updated
07/08/2007
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