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Individual

CINNEAMON LEE GEPPELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, WHNP

Contact information

Practice address
1408 POMERELLE AVE STE H, BURLEY, ID 83318-2068
(208) 677-6171
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
10297351-4402
UT
367A00000X
Advanced Practice Midwife
Primary
3671142
ID

Other

Enumeration date
06/11/2022
Last updated
02/03/2026
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