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Dirk Bradley Bahoravitch, MSN,CRNA
Certified Registered Nurse Anesthetist in Provo, Utah
NPI 1184083826

Dirk Bradley Bahoravitch is a Certified Registered Nurse Anesthetist based in American Fork, UT. Dirk Bradley Bahoravitch practices in Provo, UT and has the professional credentials of MSN,CRNA. The NPI Number for Dirk Bradley Bahoravitch is 1184083826 and holds a License No. 53485 (Utah).

The current practice location address for Dirk Bradley Bahoravitch is 1067 N 500 W, Provo, UT and can be reached out via phone at 801-374-0354.

Location: 1067 N 500 W, Provo, UT, 84003-2957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184083826
Provider Name
Dirk Bradley Bahoravitch
Credential
MSN,CRNA
Provider Entity Type
Individual
Gender
Male
Address
1067 N 500 W, Provo, UT, 84003-2957
Phone Number
801-374-0354
Fax Number
Provider Enumeration Date
02/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1067 N 500 W
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-374-0354
Fax Number
person
Provider Business Mailing Address Details
Address
1067 N 500 W
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-374-0354
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
53485 (Idaho)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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