Healthcare Provider Details

I. General information

NPI: 1063339042
Provider Name (Legal Business Name): WILDFLOWER ANESTHESIA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 N 150 E
SALEM UT
84653-5735
US

IV. Provider business mailing address

712 N 150 E
SALEM UT
84653-5735
US

V. Phone/Fax

Practice location:
  • Phone: 801-850-2529
  • 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 Number
License Number State

VIII. Authorized Official

Name: ASHLEY STEADMAN
Title or Position: CRNA
Credential: DNAP
Phone: 801-850-2529