Healthcare Provider Details

I. General information

NPI: 1629700224
Provider Name (Legal Business Name): KARINA M ROBINSON CPM LDEM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 E 650 S
CENTERVILLE UT
84014-2454
US

IV. Provider business mailing address

765 E 650 S
CENTERVILLE UT
84014-2454
US

V. Phone/Fax

Practice location:
  • Phone: 470-236-8520
  • Fax:
Mailing address:
  • Phone: 470-236-8520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: