Healthcare Provider Details

I. General information

NPI: 1578749057
Provider Name (Legal Business Name): BETTERBIRTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2008
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 S STATE ST SUITE C1
OREM UT
84058-6354
US

IV. Provider business mailing address

230 W 170 N
OREM UT
84057-4645
US

V. Phone/Fax

Practice location:
  • Phone: 801-225-5668
  • Fax: 877-676-8482
Mailing address:
  • Phone: 801-225-5668
  • Fax: 801-434-8704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number6077924-3400
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SUZANNE MARIE SMITH
Title or Position: REGISTERED AGENT
Credential: LDEM
Phone: 801-225-5668