Individual
JONATHAN D MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 N TRIUMPH BLVD, LEHI, UT 84043-4999
(385) 345-3000
(770) 701-6676
Mailing address
2530 W CARMEL ESTATES DR, CEDAR CITY, UT 84720-1916
(800) 748-4868
(770) 701-6676
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
6833204-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000437
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134557853
—
NV
Enumeration date
10/15/2013
Last updated
12/28/2018
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