NPI 1063824969

Art of Modern Anesthesia PC

Organisation Certified Registered Nurse Anesthetist Ogden, UT

Practice location

Address: 3480 Washington Blvd STE 105, Ogden, UT 84401-4149
Phone: (801) 392-0385
Mailing address: PO Box 1468, Bountiful, UT 84011-1468

Authorised official

Name: Manardie Francis Shimata
Title: Owner
Phone: (801) 392-0385

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 2775864406 (UT)

Other Nurse Anesthetist, Certified Registered providers in Utah →

Registry record

NPI: 1063824969
Entity type: Organization
NPI issued: 27 May 2014
Record last updated: 30 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.