NPI 1023108644

Leissa a Roberts, CNM

Practitioner Advanced Practice Midwife Salt Lake City, UT

Practice location

Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: (801) 581-4014
Mailing address: PO Box 413036, Salt Lake City, UT 84141-3036

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 211268-4402 (UT)

Other Advanced Practice Midwife providers in Utah →

Registry record

NPI: 1023108644
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2006
Record last updated: 16 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.