Individual
CHELYN CRAPO FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5373 W LAKE PARK BLVD, SALT LAKE CITY, UT 84120-8208
(801) 902-7960
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
8005666-4402
UT
Other
Enumeration date
08/17/2015
Last updated
03/20/2019
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