TRAVIS M PICKETT CNA

MOUNTAIN VIEW HOSPITAL LLC

Dr TRAVIS M PICKETT CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2002.

Contact

MOUNTAIN VIEW HOSPITAL LLC

2325 CORONADO ST
IDAHO FALLS
ID
834047407

Tel: 2085572700

TRAVIS M PICKETT CNA Information

Npi 1376622894
Pac Id 1658300520
Professional Enrollment Id I20050810001128
Last Name PICKETT
First Name TRAVIS
Middle Name M
Suffix
Gender M
Credential CNA
Medical School Name OTHER
Graduation Year 2002
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MOUNTAIN VIEW HOSPITAL LLC
Group Practice Pac Id 4486562774
Number Of Group Practice Members 110
Line 1 Street Address 2325 CORONADO ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834047407
Phone Number 2085572700
Hospital Affiliation Ccn 1 130065
Hospital Affiliation Lbn 1 MOUNTAIN VIEW HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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