Individual
MARY E MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEM
Contact information
Practice address
983 E WADDELL ST, EAGLE MOUNTAIN, UT 84005-4598
(801) 416-3602
Mailing address
983 E WADDELL ST, EAGLE MOUNTAIN, UT 84005-4598
(801) 416-3602
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
176B00000X
Midwife
Primary
—
UT
Other
Enumeration date
02/20/2023
Last updated
04/10/2026
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