NPI 1639539521

Leslie Divall

Practitioner Midwife Provo, UT

Practice location

Address: 589 S State St, Provo, UT 84606-5056
Phone: (801) 429-2000
Mailing address: 589 South State Street, Provo, UT 84606

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 5611104-4402 (UT)

Other Midwife providers in Utah →

Registry record

NPI: 1639539521
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2016
Record last updated: 15 Apr 2020

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.