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

Bountiful Ridge Anesthesia, PLLC

Organization Certified Registered Nurse Anesthetist · NPI 1801168794

Bountiful Ridge Anesthesia, PLLC is a Certified Registered Nurse Anesthetist in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2012.

Licensed in
UT
In the registry since
2012
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 Medical Dr
Bountiful, UT 84010-4908
Phone: (801) 299-2200
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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
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 5588901-4406 (UT)

Record details

NPI number1801168794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Turner — Sole Mbr · (801) 698-8498
NPI enumeratedFebruary 7, 2012
Last updated in NPPESNovember 20, 2017
Mailing address962 Mill Shadow Dr, Kaysville, UT 84037-4210

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