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General NPI Number Information
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NPI Number | 1063339042
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Entity Type | Organization
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Legal Business Name | WILDFLOWER ANESTHESIA, PLLC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 712 N 150 E
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City | SALEM
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State | UT
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Zip | 84653-5735
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Country | US
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Telephone | 801-850-2529
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Fax |
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Provider Business Mailing Address
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Address Line | 712 N 150 E
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City | SALEM
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State | UT
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Zip | 84653-5735
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Country | US
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Telephone | 801-850-2529
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Fax |
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Authorized Official
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Title or Position | CRNA
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Name | ASHLEY STEADMAN
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Credential | DNAP
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Telephone | 801-850-2529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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