Individual
CORRINNE ERICKSON UVEJZOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1886 W 800 N, PLEASANT GROVE, UT 84062-4097
(801) 756-5288
(801) 756-7589
Mailing address
1055 N 500 W, ATT: CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
262376-4402
UT
367A00000X
Advanced Practice Midwife
Primary
262376-4402
UT
Other
Enumeration date
05/15/2023
Last updated
05/16/2023
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