Acarregui, Julie M

Acarregui, Julie M is an sole proprietor health care provider with primary practice located at 3510 Ne June Lane , Mountain Home ID 83647-5307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Acarregui, Julie M can be contacted via phone (208) 794-0169.

Contact Information

Primary practice address
3510 Ne June Lane Mountain Home ID 83647-5307
Phone: (208) 794-0169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA-432-A Idaho

Profile Details

NPI number 1992819361
LBN Legal business name Acarregui, Julie M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Sep 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992819361 NPPES
Idaho MEDICAID 805937500

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