Provider Demographics
NPI:1538678800
Name:SAGER, NATHAN A (CRNA)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:A
Last Name:SAGER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4493 W OPEN HILL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-8164
Mailing Address - Country:US
Mailing Address - Phone:801-660-5790
Mailing Address - Fax:
Practice Address - Street 1:4493 W OPEN HILL DR
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84009-8164
Practice Address - Country:US
Practice Address - Phone:801-660-5790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-29
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID56422367500000X
UT11961443-8901367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered