Individual
MARGARET MINNAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 W BANNOCK ST, BOISE, ID 83702-5233
(208) 378-9295
Mailing address
1601 E 17TH ST, IDAHO FALLS, ID 83404-6313
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-21094
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000522300
—
ID
01
—
16015631
PTAN
ID
Enumeration date
09/02/2006
Last updated
11/13/2013
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