Leuenhagen, Bryan William

Leuenhagen, Bryan William is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1352. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Leuenhagen, Bryan William can be contacted via phone (208) 367-6416.

Contact Information

Primary practice address
1055 N Curtis Rd Boise ID 83706-1352
Phone: (208) 367-6416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X N31597 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA538 Idaho

Profile Details

NPI number 1649226168
LBN Legal business name Leuenhagen, Bryan William
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Sep 29th, 2023 - about last year

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 1649226168 NPPES
Idaho MEDICAID 806473500

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