Individual
FREDERICK S UTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 DENVER AVE, EL PASO, TX 79902-3008
(915) 577-0111
(915) 533-2568
Mailing address
3947 LAS VEGAS DR, EL PASO, TX 79902-1728
(915) 772-4551
(915) 232-9920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
04035
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP102926
TX
367500000X
Certified Registered Nurse Anesthetist
CRNA00801
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00091755
—
NM
01
—
040435
COUNCIL NURSE ANESTHETIST
—
05
—
126119009
—
TX
Enumeration date
07/19/2005
Last updated
12/16/2022
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