Julie M Acarregui, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mountain Home, ID
NPI 1992819361 · NPPES record last updated Sep 24, 2015
Key facts
- NPI
- 1992819361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RNA-432-A (ID)
- Practice address
- 3510 NE June Lane
Mountain Home, ID 83647-5307 - Phone
- (208) 794-0169
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA-432-A | ID | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA-432-A | ID | Yes |
Addresses
Primary practice location
3510 NE June Lane
Mountain Home, ID 83647-5307
Mailing address
3510 NE June Lane
Mountain Home, ID 83647
Phone (208) 587-4833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805937500 | Medicaid | ID |
Other providers in Mountain Home, ID
- Dandy Rae Aaron
- Erin Acarregui
- Gail Brent Adams
- Lisa Mary Adamson
- Neil D Adamson
- Advanced Therapy Care PLLC
- Advanced Therapy Care, PLLC
All providers in Mountain Home, ID · Certified Registered Nurse Anesthetist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.