Individual
REBECCA ANN MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2180 E 4500 S, SUITE 150, HOLLADAY, UT 84117-4434
(801) 278-3102
(801) 278-3112
Mailing address
4555 CREEK LN, MURRAY, UT 84107-3913
(801) 288-0087
(801) 278-3112
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
47473784402
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4747378440001
BCBS INSURANCE
UT
01
—
72884
PEHP INSURANCE
UT
Enumeration date
02/16/2007
Last updated
07/08/2007
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