| Daniel Cruttenden, CRNA | |
|
3340 N Center St # 800, Lehi, UT 84043-7406 | |
| (801) 990-1910 | |
| Not Available |
| Full Name | Daniel Cruttenden |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3340 N Center St # 800, Lehi, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083246631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP145077 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 12656056-8901 (Utah) | Primary |
| Entity Name | Mountain West Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
| Entity Name | Utah Gastroenterology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871689562 PECOS PAC ID: 9830174150 Enrollment ID: O20040621001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Cruttenden, CRNA 3340 N Center St # 800, Lehi, UT 84043-7406 Ph: (801) 990-1910 | Daniel Cruttenden, CRNA 3340 N Center St # 800, Lehi, UT 84043-7406 Ph: (801) 990-1910 |
Mr. Clive James Thirkill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Benjamin C Gerun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 | |
Jenna Veronica Mcrae, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Jonathan D Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Mr. Timothy I Macnair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Joseph Richard Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 |