MEDICARE: AMY GREENWOOD ANESTHESIA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1669313557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY GREENWOOD ANESTHESIA PLLC

Provider Business Mailing Address
First Line	:	3243 N 1250 W
Second Line	:
City	:	PLEASANT VIEW
State	:	UT
Zip	:	84414-1685
Country	:	US
Telephone Number	:	801-663-3323
Fax Number	:

Provider Business Practice Location Address
First Line	:	3243 N 1250 W
Second Line	:
City	:	PLEASANT VIEW
State	:	UT
Zip	:	84414-1685
Country	:	US
Telephone Number	:	801-663-3323
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMY GREENWOOD
Credential	:
Telephone Number	:	801-663-3323

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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