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NPI Code Detail

MEDICARE: REBECCA JO WILLIAMS CNM

MEDICARE:   REBECCA JO WILLIAMS  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
1367A00000XAdvanced Practice Midwife5540760-4402UT

General Provider Information

NPI Number : 1558410704
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA JO WILLIAMS CNM
Provider Business Mailing Address
First Line : 552 E 5400 S
Second Line :
City : MURRAY
State : UT
Zip : 84107-6425
Country : US
Telephone Number : 801-268-0555
Fax Number :
Provider Business Practice Location Address
First Line : 2180 E 4500 S
Second Line : SUITE 150
City : HOLLADAY
State : UT
Zip : 84117-4434
Country : US
Telephone Number : 801-278-3102
Fax Number : 801-278-3112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 07/08/2007

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Directions to “ REBECCA JO WILLIAMS CNM” Practice Location

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