NPI 1063734341

Reta Nichole Manwill, DEM

Practitioner Lay Midwife Salt Lake City, UT

Practice location

Address: 270 Coatsville Ave, Salt Lake City, UT 84115-1927
Phone: (801) 415-9888
Fax: (801) 521-0196

Registered specialties

Lay Midwife Primary

Other Service Providers Taxonomy 175M00000X

Other Midwife, Lay providers in Utah →

Registry record

NPI: 1063734341
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2010
Record last updated: 26 Feb 2010

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.