Individual
MERWIN RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3460 PIONEER PKWY, SALT LAKE CITY, UT 84120-2049
(801) 993-9526
Mailing address
5722 S 1300 W, SALT LAKE CITY, UT 84123-5343
(801) 263-2376
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
367500000X
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010143539
BCBS OF UTAH
UT
01
—
001262900
IDAHO MEDICAID
ID
01
—
002488067
NEVADA MEDICAID
NV
01
—
103806100
WYOMING MEDICAID
WY
01
—
107000471101
IHC
UT
01
—
QAN017
SOUTH CAROLINA MEDICAID
UT
01
—
QM0000052628
ALTIUS
UT
Enumeration date
07/13/2006
Last updated
08/04/2025
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