Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambulatory Surgery Center of Burley, LLC

Organization Certified Registered Nurse Anesthetist · NPI 1780103507

Ambulatory Surgery Center of Burley, LLC is a Certified Registered Nurse Anesthetist 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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