Healthcare Provider Details

I. General information

NPI: 1164505681
Provider Name (Legal Business Name): MEGAN AILEEN BARNEY CRNA, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN AILEEN RASMUSSEN

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1676 N MORGAN VALLEY DR
MORGAN UT
84050-9637
US

IV. Provider business mailing address

1676 NORTH MORGAN VALLEY DRIVE
MILTON UT
84050
US

V. Phone/Fax

Practice location:
  • Phone: 801-648-7163
  • Fax:
Mailing address:
  • Phone: 801-648-7163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number2756494406
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: