Individual
LAURA MARIE HERTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(913) 707-4773
Mailing address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139246
UT
367500000X
Certified Registered Nurse Anesthetist
16199
WI
Other
Enumeration date
01/11/2022
Last updated
12/02/2025
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