IndividualActive
A Foote, CRNA
NPI 1861454605 · Certified Registered Nurse Anesthetist · Coeur D Alene, ID
Provider details
- NPI number
- 1861454605
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RNA19 (ID)
Practice location
1705 N Government Way
Coeur D Alene, ID 83814-3444
Phone: (208) 765-8585
Fax: (208) 765-8486
Mailing address
508 S Millview Ln
Coeur D Alene, ID 83814-8960
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.