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

Moose Creek Anesthesia PC

Organization Certified Registered Nurse Anesthetist · NPI 1922990035

Moose Creek Anesthesia PC is a Certified Registered Nurse Anesthetist in Idaho Falls, Idaho. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3925 Washington Pkwy
Idaho Falls, ID 83404-7596
Phone: (208) 201-4973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23 Sawtelle Ave, Rexburg, ID 83440-1499 — (208) 734-7362

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1922990035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Tegan — Credentialing & Billing · (208) 734-7362
NPI enumeratedJuly 15, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address5341 Tildy Ln, Idaho Falls, ID 83401-6038

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