Individual
MS. JULIE M ACARREGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3510 NE JUNE LANE, MOUNTAIN HOME, ID 83647-5307
(208) 794-0169
Mailing address
3510 NE JUNE LANE, MOUNTAIN HOME, ID 83647
(208) 587-4833
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-432-A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805937500
—
ID
Enumeration date
08/19/2006
Last updated
09/24/2015
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