Individual
LEANNE BEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1886 W 800 N, PLEASANT GROVE, UT 84062-4097
(801) 756-5288
(801) 756-7589
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 429-8000
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
000590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362906
MVP
NY
Enumeration date
06/14/2005
Last updated
12/07/2012
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