MRS. Angie Rena Blackett, RN, CPM, LDEM

NPI #1033372081 in Herriman, Utah

Provider Information

NPI Number: 1033372081
Entity Type: Individual
Name: MRS. Angie Rena Blackett, RN, CPM, LDEM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: RN, CPM, LDEM
Enumeration Date: Jul 9, 2008
Last Updated: Feb 4, 2023

Practice Location

Address: 14443 S CHROME RD
City: Herriman
State: Utah
ZIP Code: 84096-1204
Phone: (801) 200-1873

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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