Aspen Anesthesia Services PC

Organization Active NPI Certified Registered Nurse Anesthetist · Bountiful, UT

NPI 1568735918 · NPPES record last updated Mar 18, 2015

Key facts

NPI
1568735918
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
309002-4406 (UT)
Legal business name
ASPEN ANESTHESIA SERVICES PC
Practice address
1586 E Millbrook Way
Bountiful, UT 84010-1530
Phone
(801) 298-3220
Fax
(801) 296-1715
NPI assigned
Feb 15, 2012
Organization subpart
No

Authorized official

Name
Marissa Hewitt, CRNA
Title
Director
Phone
(801) 296-2113

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

859 S Yellowstone Hwy
Ste 1220
Rexburg, ID 83440

420 N Redwood Rd
North Salt Lake, UT 84054
Phone (435) 729-0202

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X 309002-4406 UT Yes

Addresses

Primary practice location

1586 E Millbrook Way
Bountiful, UT 84010-1530

Mailing address

PO Box 886
Bountiful, UT 84011-0886
Phone (801) 296-2113

Other identifiers

IdentifierTypeStateIssuer
1750434981MedicaidUT

Other providers in Bountiful, UT

All providers in Bountiful, UT · Certified Registered Nurse Anesthetist in Utah

Sources for this page

Verify at the official NPI Registry.