Sunrise Ketamine Clinic LLC
Sunrise Ketamine Clinic LLC provides Certified Registered Nurse Anesthetist services in Idaho Falls, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3555 Potomac Way Ste BIdaho Falls, ID 83404-4985
Phone: (208) 524-9080
Fax: (208) 529-3786
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1205598398 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Merkley — Owner · (208) 520-0527 |
| NPI enumerated | October 6, 2021 |
| Last updated in NPPES | October 6, 2021 |
| Certification date | October 6, 2021 |
| Mailing address | 3555 Potomac Way Ste B, Idaho Falls, ID 83404-4985 |
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