Individual
MR. BENJAMIN BERZINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-5170
(208) 367-5180
Mailing address
PO BOX 7411114, CHICAGO, IL 60674-1114
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28130758A
IN
367500000X
Certified Registered Nurse Anesthetist
811028
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-871A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000761936
ANTHEM
IN
05
—
201063590
—
IN
Enumeration date
01/25/2007
Last updated
10/02/2023
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