Provider Demographics
NPI:1952628505
Name:SWINDLEHURST, WESTON MARSHALL (CRNA)
Entity Type:Individual
Prefix:MR
First Name:WESTON
Middle Name:MARSHALL
Last Name:SWINDLEHURST
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:215 KINGFISHER AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:WY
Mailing Address - Zip Code:82930-6702
Mailing Address - Country:US
Mailing Address - Phone:435-590-7817
Mailing Address - Fax:
Practice Address - Street 1:355 NORTH MAIN ST
Practice Address - Street 2:ANESTHESIA DEPT
Practice Address - City:KANAB
Practice Address - State:UT
Practice Address - Zip Code:84741
Practice Address - Country:US
Practice Address - Phone:435-644-5811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-22
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY30225.1154367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered