Dirk Bradley Bahoravitch is a Provo, Utah based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Dirk Bradley Bahoravitch is 53485 for Anesthesia Administration in Idaho. his current practice location is 1067 N 500 W, Provo. Patients can reach him at 801-374-0354. Dirk Bradley Bahoravitch is MSN, CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1184083826. Dirk Bradley Bahoravitch is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Dirk Bradley Bahoravitch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
MSN, CRNA
Gender:
Male
Practice Address:
1067 N 500 W, Provo, Utah, 84604-3305
Phone:
801-374-0354
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184083826
NPI Enumeration Date:
22 Feb, 2016
NPI Last Update On:
19 Jan, 2021
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dirk Bradley Bahoravitch are as mentioned below.
License Number
Specialization
State
Status
53485
Anesthesia Administration
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
264 N 1020 E, American Fork, Utah
Zip:
84003-2957
Phone Number:
801-592-5424
Fax Number:
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Patients can reach Dirk Bradley Bahoravitch at 1067 N 500 W, Provo, Utah or can call to book an appointment on 801-374-0354.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.