Hayden Lake Anesthesia Pllc

NPI #1134926181 in Hayden, Idaho

Provider Information

NPI Number
1134926181
Entity Type
Organization
Organization Name
Hayden Lake Anesthesia Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Feb 27, 2025
Last Updated
Feb 4, 2026

Practice Location

Address
8552 N GOVERNMENT WAY
City
Hayden
State
Idaho
ZIP Code
83835-9280
Phone
(208) 660-3604

Authorized Official

Name
KYLE THOMAS SHIBLEY, CRNA
Title
MANAGING PARTNER
Phone
(208) 209-6804

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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