IndividualActive
David Farnworth, CRNA
NPI 1457575789 · Certified Registered Nurse Anesthetist · Provo, UT
Provider details
- NPI number
- 1457575789
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 216093-4406 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1067 N 500 W
Provo, UT 84604-3305
Phone: (801) 375-8049
Fax: (801) 374-9195
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1727
Provo, UT 84603-1727
Registry dates
- Enumerated
- 2007-04-11
- 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.