Individual provider · NPI-1

Connor Anderl, CRNA

Nurse Anesthetist, Certified Registered · Ogden, UT

NPI number1437160645
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1437160645
Entity type
Individual (NPI-1)
Name
Connor Anderl
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 11, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered317095-4406UTYes

Practice location

5475 S 500 E
Ogden, UT 84405-6905

Phone 800-880-3566 · Fax 801-733-5872

Mailing address

246 E 1050 N
Kaysville, UT 84037-1249

Phone 801-476-7168

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