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

Robert L Ellison, CRNA

Individual provider Anesthesiology Physician · NPI 1265425714

Robert L Ellison, CRNA is an Anesthesiology Physician in Moscow, Idaho. Licensed in Idaho and Washington. Registered with an NPI since 2005.

Licensed in
ID, WA
In the registry since
2005
Specialties on file
3
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

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 · Licence RNA-209 (ID)
Anesthesiology Physician Taxonomy 207L00000X · Licence N13917 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence AP30004667 (WA)

Record details

NPI number1265425714
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESJuly 13, 2010
Mailing addressPo Box 1829, Coeur D Alene, ID 83816-1829

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