Individual
EMMETT WAYNE SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
89 E FISH HATCHERY RD, MANTUA, UT 84324-4379
(435) 225-5836
Mailing address
PO BOX 27688, SALT LAKE CITY, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
216299-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D2245
—
UT
Enumeration date
09/06/2005
Last updated
03/17/2018
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