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

Gary R Johanson, CRNA

Individual provider Registered Nurse · NPI 1700836418

Gary R Johanson, CRNA is a Registered Nurse in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1950 E Clark St Ste G
Pocatello, ID 83201-3314
Phone: (208) 232-7760
Fax: (208) 232-1950
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 · Licence RNA-28A (ID)
Registered Nurse Taxonomy 163W00000X · Licence N15687 (ID)

Record details

NPI number1700836418
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESOctober 19, 2011

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