Individual
ANGELA LEE IVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
202 N FLAG ROCK DR, FARMINGTON, UT 84025-2559
(801) 389-7009
Mailing address
1934 S 275 E, CLEARFIELD, UT 84015-2177
(801) 389-7009
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6031490-4406
UT
Other
Enumeration date
06/29/2012
Last updated
12/28/2023
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