IndividualActive
Chase Bazil, CRNA
NPI 1063961928 · Certified Registered Nurse Anesthetist · Provo, UT
Provider details
- NPI number
- 1063961928
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9902165-4406 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1900 N State St Ste 105
Provo, UT 84604-1354
Phone: (801) 655-5245
Approximate (ZIP-level) locationGet directions
Mailing address
348 W 90 S
Salem, UT 84653-9158
Additional practice locations (1)
- 15 N 100 WSalem, UT 84653-9541Phone: (208) 351-0283
Registry dates
- Enumerated
- 2016-10-03
- Last updated
- 2022-11-11
- Certified
- 2022-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.