IndividualActive
Brett Bulloch, CRNA
NPI 1104055821 · Certified Registered Nurse Anesthetist · St George, UT
Provider details
- NPI number
- 1104055821
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4928514-4406 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
754 S Main St Ste 5
St George, UT 84770-5519
Phone: (435) 652-1445
Approximate (ZIP-level) locationGet directions
Mailing address
1698 S 1000 E
St George, UT 84790-2271
Registry dates
- Enumerated
- 2009-07-02
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.