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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DEREK C LISH, CRNA

Active

MR. DEREK C LISH, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in BRIGHAM CITY, Utah. NPI 1699914044 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · BRIGHAM CITY, UT

Registration Details

NPI Number
1699914044
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2009 (17.557016840381 yrs)
Last Updated
Oct 26, 2021
License
TEMP RNA 19861 (ID)

Practice Information

Address
950 MEDICAL DR
BRIGHAM CITY, UT, 843024724
Browse UT providers · Browse ZIP 84302
Phone
4357349471
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in BRIGHAM CITY, UT

Name Credential NPI
PENNY J OGDEN CRNA 1265453088
MR. SCOTT CHRISTIAN PHILLIPS CRNA 1992200141
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.