NPI 1033202452

Renee Proctor Wilson, NP

Practitioner Advanced Practice Midwife Provo, UT

Practice location

Address: 585 N 500 W, Provo, UT 84601-1548
Phone: (801) 404-5588
Fax: (801) 216-8357

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 9867259 (UT)

Other Advanced Practice Midwife providers in Utah →

Registry record

NPI: 1033202452
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2006
Record last updated: 20 Dec 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.