Individual
KRISTI LEAVITT NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
(801) 213-9900
Mailing address
5505 S FJORD CIR, TAYLORSVILLE, UT 84129-2342
(801) 647-2627
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
7957869-4402
UT
367A00000X
Advanced Practice Midwife
Primary
7957869-4402
UT
Other
Enumeration date
01/18/2018
Last updated
11/22/2021
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