NPI: 1144511452 · BLACKFOOT, ID 83221 · Certified Registered Nurse Anesthetist · NPI assigned 04/21/2011
| Authorized Official | PURCELL, BLAKE (PRES) |
| NPI Enumeration Date | 04/21/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 40 | $6K |
| 2020 | 55 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 95 | 95 | $13K |