Healthcare Provider Details

I. General information

NPI: 1972260073
Provider Name (Legal Business Name): HEART AND HANDS MATERNITY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 S 1160 W
OREM UT
84058-5908
US

IV. Provider business mailing address

659 S 1160 W
OREM UT
84058-5908
US

V. Phone/Fax

Practice location:
  • Phone: 801-427-8639
  • Fax:
Mailing address:
  • Phone: 801-427-8639
  • Fax: 801-877-5359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELLA MENDENHALL
Title or Position: MIDWIFE
Credential:
Phone: 801-427-8639