Individual
JOHN S CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
115 FALLS AVE W, TWIN FALLS, ID 83301-3115
(208) 734-3356
(208) 733-9463
Mailing address
PO BOX 1657, TWIN FALLS, ID 83303-1657
(208) 734-3356
(208) 733-9463
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-22808
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004363000
—
ID
Enumeration date
11/02/2006
Last updated
12/06/2011
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