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NPI Code Detail

MEDICARE: RACHEL BALTAZAR CRNA

MEDICARE: RACHEL BALTAZAR CRNA
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
1367500000XCertified Registered Nurse Anesthetist158018UT

General Provider Information

NPI Number : 1841124013
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BALTAZAR CRNA
Provider Business Mailing Address
First Line : 822 SPRING POND DR
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-3853
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5475 S 500 E
Second Line :
City : OGDEN
State : UT
Zip : 84405-6905
Country : US
Telephone Number : 801-479-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ RACHEL BALTAZAR CRNA” Practice Location

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