Healthcare Provider Details

I. General information

NPI: 1326621921
Provider Name (Legal Business Name): MEGHAN SCHAUB CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN BOYER

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2537 W STATE ST STE 200
BOISE ID
83702-2200
US

IV. Provider business mailing address

2537 W STATE ST STE 200
BOISE ID
83702-2200
US

V. Phone/Fax

Practice location:
  • Phone: 208-336-0895
  • Fax:
Mailing address:
  • Phone: 208-336-0895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number6771764
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number2024040794
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4704318744
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: