Vanwagoner, Patrick Read

Vanwagoner, Patrick Read is an individual health care provider with primary practice located at 1067 N 500 W , Provo UT 84604. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Vanwagoner, Patrick Read can be contacted via phone (801) 375-8049.

Contact Information

Primary practice address
1067 N 500 W Provo UT 84604
Phone: (801) 375-8049
Fax: (801) 374-9195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 191104-4406 Utah

Profile Details

NPI number 1275745309
LBN Legal business name Vanwagoner, Patrick Read
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275745309 NPPES
Utah MEDICAID 562302331007

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