Brandon Richard Dabb, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mountain Green, UT
NPI 1609190040 · NPPES record last updated Mar 14, 2010
Key facts
- NPI
- 1609190040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4918889-4406 (UT)
- Practice address
- 5674 Woodland Dr
Mountain Green, UT 84050-9914 - Phone
- (801) 372-1888
- NPI assigned
- Mar 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4918889-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet Dreams,LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4918889-4406 | UT | Yes |
Addresses
Primary practice location
5674 Woodland Dr
Mountain Green, UT 84050-9914
Mailing address
PO Box 12734
221 N Washington Blvd
Ogden, UT 84412-2734
Phone (801) 710-6569
Other providers in Mountain Green, UT
- Badger Management LLC
- Royce Baird Bartholomew
- Melanie Brenchley
- Cloud Nine Sedations
- Cone-Beam Consultants LLC
- Douglas L Miner MD PC
- Jordan Harding
- Jennie McFarland
- Mindful Mental Health of Utah LLC
- Amy Marie Peters
All providers in Mountain Green, UT · Certified Registered Nurse Anesthetist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.