Individual
MR. WILLAM HEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7154 W STATE ST #369, BOISE, ID 83714-7421
(208) 859-1081
(208) 853-4409
Mailing address
7154 W STATE ST, BOISE, ID 83714-7421
(208) 859-1081
(208) 853-4409
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-195-A
ID
Other
Enumeration date
03/08/2006
Last updated
10/19/2012
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