Organization
WOMEN'S HEALTH AND BIRTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA LYNN FAWSON DNP CNM WHNP (PRESIDENT)
(801) 695-1318
Entity
Organization
Contact information
Practice address
2727 N WASHINGTON BLVD, NORTH OGDEN, UT 84414-2241
(801) 695-1318
Mailing address
1205 E 2325 N, NORTH OGDEN, UT 84414-2570
(801) 695-1318
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
3203688900
UT
367A00000X
Advanced Practice Midwife
Primary
320368-4402
UT
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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