Tina Nackos, CNM

NPI #1770021123 in Provo, Utah

Provider Information

NPI Number: 1770021123
Entity Type: Individual
Name: Tina Nackos, CNM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Advanced Practice Midwife
Credential: CNM
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 585 N 500 W
City: Provo
State: Utah
ZIP Code: 84601-1548
Phone: (801) 404-5588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Advanced Practice Midwife	367A00000X	Primary

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