Individual
MCKELL JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 372-3821
Mailing address
433 CANYON VIEW DR, PLEASANT GROVE, UT 84062-4572
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9265605-8901
UT
Other
Enumeration date
03/25/2019
Last updated
05/11/2023
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