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Organization

VITALITY GENERATION & MIDWIFERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORETTA S. SHUPE CPM (CEO)
(801) 628-4573
Entity
Organization

Contact information

Practice address
5319 S 500 E STE C, OGDEN, UT 84405-7218
(801) 917-6104
(801) 436-5182
Mailing address
431 E 2700 N, OGDEN, UT 84414-2332
(801) 628-4573
(801) 436-5182

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175M00000X
Lay Midwife
176B00000X
Midwife
Primary
367A00000X
Advanced Practice Midwife

Other

Enumeration date
06/22/2017
Last updated
10/06/2025
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