NPI 1962087403
Jensen Willard, CRNA
Practice location
- Address
- 3741 W 12600 S, Riverton, UT 84065-7215
- Phone
- (801) 285-4000
- Mailing address
- 1355 Elk Hollow Rd, North Salt Lake, UT 84054-3378
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1962087403
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Mar 2021
- Record last updated
- 19 Jun 2023
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.