Individual provider · NPI-1

Rachel Baltazar, CRNA

Nurse Anesthetist, Certified Registered · Ogden, UT

NPI number1841124013
StatusActive
Last updated in NPPESJun 11, 2026

Details

NPI
1841124013
Entity type
Individual (NPI-1)
Name
Rachel Baltazar
Credential
CRNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 11, 2026
Certification date
Jun 11, 2026
Last updated
Jun 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered158018UTYes

Practice location

5475 S 500 E
Ogden, UT 84405-6905

Phone 801-479-2111

Mailing address

822 Spring Pond Dr
Farmington, UT 84025-3853

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