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

Panhandle Anesthesia Associates of Moscow

Organization Certified Registered Nurse Anesthetist · NPI 1720687031

Panhandle Anesthesia Associates of Moscow provides Certified Registered Nurse Anesthetist services in Moscow, Idaho. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

700 S Main St
Moscow, ID 83843-3046
Phone: (208) 882-4511
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 number1720687031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Bauer — Practice Manager · (208) 691-1901
NPI enumeratedOctober 19, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing addressPo Box 9911, Moscow, ID 83843-0200

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