Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ambulatory Surgery Center of Burley, LLC

Organization Certified Registered Nurse Anesthetist · NPI 1780103507

Ambulatory Surgery Center of Burley, LLC provides Certified Registered Nurse Anesthetist services in Burley, Idaho. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1344 Hiland Ave Ste E
Burley, ID 83318-1564
Phone: (208) 677-8888
Fax: (208) 678-5833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1780103507
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAmbulatory Surgery Center of Burley, LLC
Authorized official Joseph Petersen — Ceo · (208) 677-8888
Other names Ambulatory Surgery Center Of Burley Anesthesia
NPI enumeratedSeptember 13, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1344 Hiland Ave Ste E, Burley, ID 83318-1564

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