Individual
MICHELLE GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
96 E KIMBALLS LN STE 202, DRAPER, UT 84020-5021
(801) 523-3053
(801) 523-3059
Mailing address
PO BOX 198546, ATLANTA, GA 30384-8546
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
5948089-4402
UT
Other
Enumeration date
07/27/2012
Last updated
11/25/2020
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