Organization
MIRACLE MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA LYNN MIRACLE CPM, LM (MIDWIFE)
(801) 923-8806
Entity
Organization
Contact information
Practice address
360 S FORT LN STE 1B, LAYTON, UT 84041-5700
(801) 923-8806
(801) 447-6037
Mailing address
360 S FORT LN STE 1B, LAYTON, UT 84041-5700
(801) 923-8806
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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