Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Art of Modern Anesthesia PC

Organization Certified Registered Nurse Anesthetist · NPI 1063824969

Art of Modern Anesthesia PC is a Certified Registered Nurse Anesthetist in Ogden, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3480 Washington Blvd Ste 105
Ogden, UT 84401-4149
Phone: (801) 392-0385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2775864406 (UT)

Record details

NPI number1063824969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manardie Shimata — Owner · (801) 392-0385
NPI enumeratedMay 27, 2014
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing addressPo Box 1468, Bountiful, UT 84011-1468

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