Lisa Ellen Davis CNM

NPI 1124289798 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1124289798
Gender Female
Enumeration Date 06/17/2008
Last Updated 10/29/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
SALT LAKE CITY UT, 84132-0100, US
Phone (801) 581-4014
Business Location
PO BOX 413036
SALT LAKE CITY UT, 84141-3036, US
Phone (801) 213-3900
Taxonomy Code 367A00000X
License State Utah
License Number 5522893-4402
Remove 1124289798 NPI Number

According to our database, Mrs. Lisa Ellen Davis CNM NPI is 1124289798, taxonomy code is 367A00000X and license number is 5522893-4402, license state is located at Utah. Lisa Ellen Davis CNM physically located at 50 N Medical Dr, Salt Lake City UT, 84132-0100. NPI Number Lisa Ellen Davis CNM has the Individual type.

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1124289798 NPI number is provided on an as is basis without warranty of any kind. 1124289798 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ellen Davis CNM are for informational purposes only.