NPI 1760970263

Tara Jeanine Mansius

Practitioner Midwife Ogden, UT

Practice location

Address: 5319 S 500 E STE C, Ogden, UT 84405-7218
Phone: (801) 516-0576
Mailing address: 515 S Center St, Oregon City, OR 97045-2938

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence DEM-LD10189489 (OR)

Other Midwife providers in Utah →

Registry record

NPI: 1760970263
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2018
Record last updated: 18 Feb 2019

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.