Brendan Petersen, CRNA
NPI #1043569056 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1043569056
- Entity Type
- Individual
- Name
- Brendan Petersen, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Sep 5, 2012
- Last Updated
- Nov 20, 2012
Practice Location
- Address
- 801 POLE LINE RD W
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-5810
- Phone
- (208) 814-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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