IndividualActive
Charles Gosselin
NPI 1164525200 · Certified Registered Nurse Anesthetist · Salt Lake City, UT
Provider details
- NPI number
- 1164525200
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R 035332 (ME)
Practice location
500 Foothill Blvd
Salt Lake City, UT 84148-0001
Phone: (801) 584-1240
Mailing address
7952 Oakledge Rd
Salt Lake City, UT 84121-5823
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.