Healthcare Provider Details

I. General information

NPI: 1144541269
Provider Name (Legal Business Name): TARRIN PIPPIN CPM, LDM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 BRINKER AVE
OGDEN UT
84404-4541
US

IV. Provider business mailing address

536 BRINKER AVE
OGDEN UT
84404-4541
US

V. Phone/Fax

Practice location:
  • Phone: 971-297-8515
  • Fax:
Mailing address:
  • Phone: 971-297-8515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number14190731-3400
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: