Individual
WHITNEY MICKELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDEM
Contact information
Practice address
4359 S HIGHLAND DR, HOLLADAY, UT 84124-3539
(888) 755-7155
(801) 723-3115
Mailing address
1190 E 300 S, SALT LAKE CITY, UT 84102-2506
(435) 896-3848
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
13330292-3400
UT
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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