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BOUNTIFUL RIDGE ANESTHESIA PLLC NPI 1801168794


NPI Information

NPI: 1801168794
Provider Name: BOUNTIFUL RIDGE ANESTHESIA, PLLC
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization

CLIA Number: 46D2275767

Address:
630 MEDICAL DR
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 299-2200
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BOUNTIFUL RIDGE ANESTHESIA, PLLC is a nurse anesthetist certified registered in Bountiful, UT. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. BOUNTIFUL RIDGE ANESTHESIA, PLLC NPI is 1801168794. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

630 MEDICAL DR
BOUNTIFUL, UT
ZIP 84010-908
Phone: (801) 299-2200

The provider's authorized official is Kyle B Turner .
The authorized official title is Sole Mbr and has the following contact phone number (801) 698-8498.

The CLIA number assigned to this NPI record is 46D2275767 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/7/2012 and was last updated on 11/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified RegisteredYes
2367500000XNurse Anesthetist, Certified Registered5588901-4406UTAHNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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