| Larry Edgerton, CRNA | |
|
1717 Arlington Ave, Caldwell, ID 83605-4802 | |
| (208) 455-3940 | |
| Not Available |
| Full Name | Larry Edgerton |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1717 Arlington Ave, Caldwell, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215082599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RNA17 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Edgerton, CRNA 1717 Arlington Ave, Caldwell, ID 83605-4802 Ph: (208) 455-3940 | Larry Edgerton, CRNA 1717 Arlington Ave, Caldwell, ID 83605-4802 Ph: (208) 455-3940 |
Daniel Bonilla, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Shad B Westover, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-455-4009 |