Organization
GREAT BASIN PAIN & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HUNT CRNA,FNP-C,APRN (OWNER/PARTNER)
(801) 372-5785
Entity
Organization
Contact information
Practice address
1775 BROWNING WAY STE 102, ELKO, NV 89801-8338
(775) 299-4555
Mailing address
PO BOX 2001, IDAHO FALLS, ID 83403-2001
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/15/2018
Last updated
12/22/2022
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