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

Panhandle Anesthesia Associates of Moscow

Organization Certified Registered Nurse Anesthetist · NPI 1720687031

Panhandle Anesthesia Associates of Moscow is a Certified Registered Nurse Anesthetist in Moscow, Idaho. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

700 S Main St
Moscow, ID 83843-3046
Phone: (208) 882-4511
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 number1720687031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Bauer — Practice Manager · (208) 691-1901
NPI enumeratedOctober 19, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing addressPo Box 9911, Moscow, ID 83843-0200

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