DARREL PAULUS LARSON CRNA
NPI 1184096620
Nurse Anesthetist, Certified Registered in Boise, ID

Active since October 23, 2015
10118 W OVERLAND RD, BOISE, ID 83709(208) 450-3856 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About DARREL LARSON

This page provides the complete NPI Profile along with additional information for Darrel Larson, a provider established in Boise, Idaho with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1184096620 assigned on October 2015. The practitioner's primary taxonomy code is 367500000X with license number 53419 (ID). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1184096620 Verify this NPI
Provider Name
DARREL PAULUS LARSON CRNA
Gender
Male
Entity Type
Individual
Location Address
10118 W OVERLAND RD BOISE, ID 83709
Location Phone
(208) 450-3856
Mailing Address
10118 W OVERLAND RD BOISE, ID 83709
Is Sole Proprietor?
No
Enumeration Date
10-23-2015
Last Update Date
07-20-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
53419
License State
ID
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

118966 (OK)
2163W00000XNursing Service Providers

Registered Nurse

53419 (ID)
3367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

118966 (OK)

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
10118 W OVERLAND RD
BOISE, ID 83709
Anesthesiology
10118 W OVERLAND RD
BOISE, ID 83709

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184096620, enumerated as an "individual" on October 23, 2015.

The provider is located at 10118 W OVERLAND RD BOISE, ID 83709 and the phone number is (208) 450-3856.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.