Individual
MELODY PENDLETON DICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
990 E 400 N, MAPLETON, UT 84664-3671
(801) 836-4559
Mailing address
990 E 400 N, MAPLETON, UT 84664-3671
(801) 836-4559
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020006
NARM CERTIFIED PROFESSIONAL MIDWIFE
—
01
—
006
LICENSED MIDWIFE
WY
Enumeration date
08/08/2011
Last updated
07/16/2013
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