Beautiful Mountain Birth & Midwifery

NPI #1700441672 in West Jordan, Utah

Provider Information

NPI Number: 1700441672
Entity Type: Organization
Organization Name: Beautiful Mountain Birth & Midwifery
Subpart: Yes (part of a larger organization)
Parent Organization: BEAUTIFUL MOUNTAIN BIRTH SUITES, LLC
Primary Specialty: Midwife
Enumeration Date: May 7, 2019
Last Updated: May 7, 2019

Practice Location

Address: 7611 S JORDAN LANDING BLVD STE 120&130
City: West Jordan
State: Utah
ZIP Code: 84084-5610
Phone: (801) 252-6243

Authorized Official

Name: ANGIE RENA BLACKETT, CPM, LDEM
Title: OWNER/DIRECTOR
Phone: (801) 200-1873

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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