Healthcare Provider Details

I. General information

NPI: 1285566240
Provider Name (Legal Business Name): ASHLEY BOPHANY STEADMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E 100 N
PAYSON UT
84651-1600
US

IV. Provider business mailing address

712 N 150 E
SALEM UT
84653-5735
US

V. Phone/Fax

Practice location:
  • Phone: 801-735-3088
  • Fax:
Mailing address:
  • Phone: 801-850-2529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number11580041-4406
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: