NPI 1740071430

Carlie Didericksen

Practitioner Doula South Jordan, UT

Practice location

Address: 2986 W Southpointe Rd, South Jordan, UT 84095-3396
Phone: (801) 516-8056

Registered specialties

Doula Primary

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1740071430
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2025
Record last updated: 14 May 2025

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.