MEDICARE: MELINDA L RUHLMANN CNM

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	2176474402	UT

General Provider Information

NPI Number	:	1164453536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA L RUHLMANN CNM

Provider Business Mailing Address
First Line	:	1055 N 500 W
Second Line	:	ATTN. CREDENTIALING
City	:	PROVO
State	:	UT
Zip	:	84604-3305
Country	:	US
Telephone Number	:	801-354-8225
Fax Number	:	801-418-0941

Provider Business Practice Location Address
First Line	:	1886 W 800 N
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-4097
Country	:	US
Telephone Number	:	801-756-5255
Fax Number	:	801-756-5289

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	05/05/2016

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