Thomas J. Tavenner CRNA

NPI 1912002536 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1912002536
Gender Male
Enumeration Date 09/14/2006
Last Updated 02/26/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 N MAIN ST
RICHFIELD UT, 84701-1857, US
Phone (435) 893-4100
Business Location
1105 N 500 E
RICHFIELD UT, 84701-1917, US
Phone (435) 896-2934
Taxonomy Code 367500000X
License State Utah
License Number 149511205797
Remove 1912002536 NPI Number

According to our database, Thomas J. Tavenner CRNA NPI is 1912002536, taxonomy code is 367500000X and license number is 149511205797, license state is located at Utah. Thomas J. Tavenner CRNA physically located at 1000 N Main St, Richfield UT, 84701-1857. NPI Number Thomas J. Tavenner CRNA has the Individual type.

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1912002536 NPI number is provided on an as is basis without warranty of any kind. 1912002536 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas J. Tavenner CRNA are for informational purposes only.