Individual
RENEE DAWN SALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(800) 880-3566
(801) 733-5872
Mailing address
2050 N 680 W, WEST BOUNTIFUL, UT 84087-1119
(801) 298-2792
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5784240-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34988
HEALTHY U
UT
01
—
68295
PEHP
UT
01
—
P00221106
RAILROAD MEDICARE
UT
Enumeration date
08/11/2006
Last updated
07/08/2007
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