Petersen, Brendan

Petersen, Brendan is an individual health care provider with primary practice located at 801 Pole Line Rd W , Twin Falls ID 83301-5810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Petersen, Brendan can be contacted via phone (208) 814-1000.

Contact Information

Primary practice address
801 Pole Line Rd W Twin Falls ID 83301-5810
Phone: (208) 814-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA-844A Idaho

Profile Details

NPI number 1043569056
LBN Legal business name Petersen, Brendan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Nov 20th, 2012 - about 13 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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