| Brandon Allen Aven, CRNA | |
|
836 S Angel St, Layton, UT 84041-8404 | |
| (801) 540-7800 | |
| Not Available |
| Full Name | Brandon Allen Aven |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 836 S Angel St, Layton, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649566936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRA-1000040 (Colorado) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 5047072-8901 (Utah) | Primary |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Allen Aven, CRNA 836 S Angel St, Layton, UT 84041-3238 Ph: (801) 540-7800 | Brandon Allen Aven, CRNA 836 S Angel St, Layton, UT 84041-8404 Ph: (801) 540-7800 |
Robert Joseph Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 W Layton Pkwy, Layton, UT 84041 Phone: 801-727-2056 Fax: 770-701-6675 | |
Spencer Belnap, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 W Layton Pkwy, Layton, UT 84041 Phone: 801-543-6000 | |
Mr. Eric James Linford, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-774-7020 Fax: 801-451-5136 |