Individual
CARMEL LOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
2205 E MENDOTA DR, BOISE, ID 83716-6803
(907) 388-1168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2861768
ID
Other
Enumeration date
06/20/2023
Last updated
08/08/2024
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