Individual
MIQUELA AFSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2120 S HIGHLAND DR APT 611, SALT LAKE CITY, UT 84106-3579
(312) 720-6212
Mailing address
2120 S HIGHLAND DR APT 611, SALT LAKE CITY, UT 84106-3579
(312) 720-6212
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9576529-4406
UT
367500000X
Certified Registered Nurse Anesthetist
9576529-8901
UT
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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