| Tonia Marie Nicholson, CRNA | |
|
3071 E Franklin Rd, Ste 101, Meridian, ID 83642-2376 | |
| (208) 288-1400 | |
| Not Available |
| Full Name | Tonia Marie Nicholson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3071 E Franklin Rd, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598874760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | N-21540 (Idaho) | Primary |
| Entity Name | Jt Anesthesia Services Pllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194285718 PECOS PAC ID: 1456692581 Enrollment ID: O20190417002554 |
| Mailing Address | Practice Location Address |
|---|---|
| Tonia Marie Nicholson, CRNA 1601 E 17th St, Idaho Falls, ID 83404-6313 Ph: (208) 525-2090 | Tonia Marie Nicholson, CRNA 3071 E Franklin Rd, Ste 101, Meridian, ID 83642-2376 Ph: (208) 288-1400 |
Heather J Nasker, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3235 N Towerbridge Way, #100, Meridian, ID 83646 Phone: 208-412-8177 | |
Mr. Justin R Gibb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1828 S Millenium Way, Meridian, ID 83642 Phone: 208-381-0262 | |
Charles Stiff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 | |
Clayton Sanders, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 | |
Mr. Brent V Bowles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1828 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-445-2456 | |
Marguerite Overton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 | |
Steven Berg, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Suite 3104, Meridian, ID 83642 Phone: 208-373-1200 |