Individual
AMMON R PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9127 W RUSSELL RD STE 110, LAS VEGAS, NV 89148
(702) 878-0070
(702) 209-2064
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
8891319-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000536
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659889327
—
NV
Enumeration date
01/17/2018
Last updated
10/26/2021
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