MEDICARE: EMILY HART HAYES C.N.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	8384831-4402	UT
2	367A00000X	Advanced Practice Midwife	3834831-8902	UT

General Provider Information

NPI Number	:	1134504608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY HART HAYES C.N.M.

Provider Business Mailing Address
First Line	:	10 S 2000 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84112-5880
Country	:	US
Telephone Number	:	801-581-4014
Fax Number	:

Provider Business Practice Location Address
First Line	:	3690 S MAIN ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-4423
Country	:	US
Telephone Number	:	385-468-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	07/27/2015

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