Organization · NPI-2

3 2 1 Anesthesia LLC

Nurse Anesthetist, Certified Registered · Ogden, UT

NPI number1902264427
StatusActive
Last updated in NPPESJan 29, 2016

Details

NPI
1902264427
Entity type
Organization (NPI-2)
Legal business name
3 2 1 Anesthesia LLC
Organization subpart
No
Enumeration date
Jan 29, 2016
Last updated
Jan 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered371423-4406UTYes

Practice location

3480 Washington Blvd Ste 105
Ogden, UT 84401-4149

Phone 801-392-0385 · Fax 801-393-3334

Mailing address

Po Box 837
Ogden, UT 84402-0837

Phone 801-392-0402 · Fax 801-393-3334

Authorized official

Kendra Kp Williams
Crna/Owner
8013918432

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