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

Blue Lakes Anesthesia

Organization Certified Registered Nurse Anesthetist · NPI 1073344651

Blue Lakes Anesthesia is a Certified Registered Nurse Anesthetist in Twin Falls, Idaho. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2092 Dawson Dr
Twin Falls, ID 83301-3195
Phone: (208) 734-7362
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 number1073344651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thad Hollist — Managing Member · (208) 520-0035
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address3849a N 3700 E, Hansen, ID 83334-5039

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