Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Art of Modern Anesthesia PC

Organization Certified Registered Nurse Anesthetist · NPI 1063824969

Art of Modern Anesthesia PC provides Certified Registered Nurse Anesthetist services in Ogden, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3480 Washington Blvd Ste 105
Ogden, UT 84401-4149
Phone: (801) 392-0385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2775864406 (UT)

Record details

NPI number1063824969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manardie Shimata — Owner · (801) 392-0385
NPI enumeratedMay 27, 2014
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing addressPo Box 1468, Bountiful, UT 84011-1468

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