IndividualActive
Graham Russell, BSN, DNP-CRNA
NPI 1972217461 · Critical Care Medicine Registered Nurse · Boise, ID
Provider details
- NPI number
- 1972217461
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- BSN, DNP-CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RN768430 (PA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-2121
Approximate (ZIP-level) locationGet directions
Mailing address
2700 E Overland Rd Apt C212
Meridian, ID 83642-8989
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.