Individual
JEFFREY LYLE CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 PRESIDENTS CIR RM 411, SALT LAKE CITY, UT 84112-9022
(801) 587-4803
Mailing address
201 PRESIDENTS CIR RM 411, SALT LAKE CITY, UT 84112-9022
(801) 587-4803
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5052812-4406
UT
367500000X
Certified Registered Nurse Anesthetist
CRNA0966
AZ
Other
Enumeration date
10/02/2013
Last updated
11/12/2021
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