Individual
BETTY ANN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
527 W 400 N STE 4, OREM, UT 84057-1951
(801) 714-3388
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 714-3388
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
3094034402
UT
Other
Enumeration date
07/28/2006
Last updated
10/15/2007
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