IndividualActive
Mathew Coddington, CRNA
NPI 1336576560 · Certified Registered Nurse Anesthetist · Delta, UT
Provider details
- NPI number
- 1336576560
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 101292 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
126 White Sage Ave
Delta, UT 84624
Phone: (435) 864-5591
Approximate (ZIP-level) locationGet directions
Mailing address
126 White Sage Ave
Delta, UT 84624-8937
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2018-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.