Individual
RONALD TERRY DRAPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP, CRNA
Contact information
Practice address
770 S HIGHWAY 99, FILLMORE, UT 84631-5033
(435) 253-8000
(435) 655-5213
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(435) 864-3333
(435) 864-2790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
195011-4405
UT
367500000X
Certified Registered Nurse Anesthetist
195011-4406
UT
Other
Enumeration date
10/06/2006
Last updated
05/04/2023
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