Healthcare Provider Details

I. General information

NPI: 1447329867
Provider Name (Legal Business Name): SHERRI KAY CONTRERAS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERRI KAY HEMLICK CRNA

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 06/22/2025
Certification Date: 06/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2537 W STATE ST
BOISE ID
83702-2200
US

IV. Provider business mailing address

1327 E VILLAGE GREEN ST
MERIDIAN ID
83646-1807
US

V. Phone/Fax

Practice location:
  • Phone: 208-336-0895
  • Fax:
Mailing address:
  • Phone: 208-315-5285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRNA791A
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN00167894
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberRNA-791A
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: