| NPI | 1568735918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA HEWITT Director 801-296-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 309002-4406) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2015-03-18 |