MEDICARE: SAVANAH EASTER CPM, LDEM

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	176B00000X	Midwife	14203439-3400	UT

General Provider Information

NPI Number	:	1255212551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANAH EASTER CPM, LDEM

Provider Business Mailing Address
First Line	:	17 BIRCHTREE LN
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-4844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8170 S HIGHLAND DR STE E4
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84093-6465
Country	:	US
Telephone Number	:	801-449-1305
Fax Number	:

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

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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Directions to “ SAVANAH EASTER CPM, LDEM” Practice Location

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