NPI 1770021123

Tina Nackos, CNM

Practitioner Advanced Practice Midwife Provo, UT

Practice location

Address: 585 N 500 W, Provo, UT 84601-1548
Phone: (801) 404-5588

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

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Registry record

NPI: 1770021123
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2017
Record last updated: 6 Feb 2017

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.