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

Mr. Walter R Fetterley II, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1891803482

Mr. Walter R Fetterley II, CRNA is a Certified Registered Nurse Anesthetist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

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

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Practice location Address checks out

621 Reserve St
Boise, ID 83712-6354
Phone: (208) 559-7162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA-619 (ID)

Record details

NPI number1891803482
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESNovember 20, 2008

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