Individual
NATHAN HUNTSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
320 RIVER PARK DR STE 125, PROVO, UT 84604-6065
(801) 437-4500
(801) 437-1400
Mailing address
654 N 840 E, OREM, UT 84097-4270
(801) 420-2730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8764516-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
8764516-8901
UT
Other
Enumeration date
01/22/2020
Last updated
07/09/2020
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