Individual
PROF. DONNA SUSAN FREEBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, CNM
Contact information
Practice address
425 N 1800 W, MAPLETON, UT 84664-3138
(801) 489-1164
Mailing address
PO BOX 453, SPRINGVILLE, UT 84663-0453
(801) 489-1164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
367022-4405
UT
367A00000X
Advanced Practice Midwife
367022-4402
UT
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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