MEDICARE: MRS. REBEKA CHARLOTTE ESLINGER 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
1	367500000X	Certified Registered Nurse Anesthetist	R0082691	OK
2	367500000X	Certified Registered Nurse Anesthetist	12262716-8901	UT

General Provider Information

NPI Number	:	1871803601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBEKA CHARLOTTE ESLINGER CRNA

Provider Business Mailing Address
First Line	:	8TH AVENUE C ST E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84143-0001
Country	:	US
Telephone Number	:	801-408-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	8TH AVENUE C ST E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84143-2545
Country	:	US
Telephone Number	:	801-408-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	06/28/2021

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