Whalio Doctors

NPI 1255686259

Graham Brent Prime, CRNA

Practitioner Certified Registered Nurse Anesthetist American Fork, UT

Practice location

Address
170 N 1100 E, American Fork, UT 84003-2096
Phone
(801) 763-3300
Mailing address
PO Box 3810, Salt Lake City, UT 84110-3810

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 5366606-4406 (UT)

Registry record

NPI
1255686259
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jul 2012
Record last updated
17 Jul 2012

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.