Individual
DIANE D HEUBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1220 EAST 3900 SOUTH, SUITE 3E, SALT LAKE CITY, UT 84124
(801) 685-7188
(801) 685-8116
Mailing address
1220 EAST 3900 SOUTH, SUITE 3E, SALT LAKE CITY, UT 84124
(801) 685-7188
(801) 685-8116
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2146284402
—
Other
Enumeration date
06/02/2006
Last updated
07/06/2009
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