Provider Demographics
NPI:1942890355
Name:ARGYLE, JED (BSN, CRNA)
Entity Type:Individual
Prefix:
First Name:JED
Middle Name:
Last Name:ARGYLE
Suffix:
Gender:M
Credentials:BSN, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 OAK HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-9308
Mailing Address - Country:US
Mailing Address - Phone:801-836-0635
Mailing Address - Fax:
Practice Address - Street 1:9300 WEST SUNSET RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2623
Practice Address - Country:US
Practice Address - Phone:702-900-4085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV836199367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered