Organization
ASPEN ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA HEWITT CRNA (DIRECTOR)
(801) 296-2113
Entity
Organization
Contact information
Practice address
1586 E MILLBROOK WAY, BOUNTIFUL, UT 84010-1530
(801) 298-3220
(801) 296-1715
Mailing address
PO BOX 886, BOUNTIFUL, UT 84011-0886
(801) 296-2113
(801) 296-1715
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
309002-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750434981
—
UT
Enumeration date
02/15/2012
Last updated
03/18/2015
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