MEDICARE: ASHLEIGH TAYLOR

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

General Provider Information

NPI Number	:	1629747431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEIGH TAYLOR

Provider Business Mailing Address
First Line	:	5107 S 900 E STE 140
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-6630
Country	:	US
Telephone Number	:	801-590-8980
Fax Number	:	385-744-3076

Provider Business Practice Location Address
First Line	:	5107 S 900 E STE 140
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-6630
Country	:	US
Telephone Number	:	801-590-8980
Fax Number	:	385-743-0762

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

Provider Enumeration Date	:	09/07/2021
Last Update Date	:	09/07/2021

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Directions to “ ASHLEIGH TAYLOR ” Practice Location

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