Individual
MRS. HANNAH A PUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2559
(770) 701-6675
Mailing address
PO BOX 3750, SALT LAKE CITY, UT 84110-3750
(800) 945-9877
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
53920
ID
367500000X
Certified Registered Nurse Anesthetist
RN655000
PA
Other
Enumeration date
06/29/2016
Last updated
03/23/2020
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