Jay C Henselen, CRNA | |
1109 N 100w, Beaver, UT 84713-1670 | |
(435) 438-7100 | |
Not Available |
Full Name | Jay C Henselen |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1109 N 100w, Beaver, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699803148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jay C Henselen, CRNA 1109 N 100w, Po Box 1670, Beaver, UT 84713-1670 Ph: (435) 438-7100 | Jay C Henselen, CRNA 1109 N 100w, Beaver, UT 84713-1670 Ph: (435) 438-7100 |
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