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

Moscow Mountain Anesthesia, PLLC

Organization Certified Registered Nurse Anesthetist · NPI 1275074486

Moscow Mountain Anesthesia, PLLC is a Certified Registered Nurse Anesthetist in Moscow, Idaho. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2300 W A St
Moscow, ID 83843-4038
Phone: (208) 883-1500
Fax: (208) 882-7701
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 number1275074486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Winterbottom — President · (208) 883-1500
NPI enumeratedMarch 20, 2017
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address2300 W A St, Moscow, ID 83843-4038

Other providers in Moscow