Tavish Ronald Nelson, CRNA

NPI #1679215958 in Pocatello, Idaho

Provider Information

NPI Number
1679215958
Entity Type
Individual
Name
Tavish Ronald Nelson, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Apr 8, 2022
Last Updated
May 15, 2025

Practice Location

Address
777 HOSPITAL WAY
State
Idaho
ZIP Code
83201-5175
Phone
(208) 239-1000

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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