SearchIdaho367500000X

Gavin Bruderer, CRNA, MSNA

NPI 1427730910 · on the registry since 2023 · sole proprietor

Practice

Address
1717 Arlington Ave
Caldwell, ID 83605
Phone
(208) 459-4641
Organisation at this address
Helicase Llc
Obhg Idaho Pc
Grande Ronde Hospital, Inc
Western Idaho Pathology Pa
Carepoint Health Idaho, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Additional practice sites

  • 10401 W Thunderbird Blvd, Sun City, AZ

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho