Healthcare Provider Details

I. General information

NPI: 1396186409
Provider Name (Legal Business Name): KARINE JULIE HACHON CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 MEDICAL DR
BOUNTIFUL UT
84010-4908
US

IV. Provider business mailing address

2223 S 400 E
BOUNTIFUL UT
84010-5648
US

V. Phone/Fax

Practice location:
  • Phone: 216-926-4387
  • Fax:
Mailing address:
  • Phone: 216-926-4387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP 9299524
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number6912553-4406
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: