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Search › Idaho › 367500000X

Jeffery Richardson, CRNA-DNP

NPI 1932774312 · on the registry since 2021 · sole proprietor

Practice

Address
190 E Bannock St
Boise, ID 83712
Phone
(801) 231-9869
Organisation at this address
St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
695

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
WI, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-19

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