Individual
DR. SARA JANE HAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, DNP
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-9500
Mailing address
2021 EAST CANDLE SPRUCE COVE, SANDY, UT 84092
(801) 943-3823
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
5158182-4402
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5232
—
UT
Enumeration date
10/03/2006
Last updated
11/02/2021
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