Individual
WAYNE REX RIDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
96 E KIMBALLS LN STE 100, DRAPER, UT 84020-5021
(801) 319-5095
Mailing address
1301 S 550 W, SALEM, UT 84653-9173
(801) 319-5095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0294124-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107004477101
IHC
UT
01
—
190382600
US DEPT OF LABOR
UT
01
—
56221
HEALTHY U
UT
01
—
870525882RID
EDUCATORS MUTUAL
UT
01
—
PRA04893
MOLINA
UT
01
—
QM0000076595
ALTIUS
UT
Enumeration date
09/13/2006
Last updated
11/06/2024
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