NPI 1164497988

Randy S Heninger, CNM

Practitioner Advanced Practice Midwife Layton, UT

Practice location

Address: 1492 W Antelope Dr STE 206, Layton, UT 84041-1150
Phone: (801) 776-0567
Mailing address: 1268 S 4225 W, Syracuse, UT 84075-6896

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 5701141-4402 (UT)

Other Advanced Practice Midwife providers in Utah →

Registry record

NPI: 1164497988
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2006
Record last updated: 30 Sep 2009

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.