MEDICARE: WHITNEY P MARTINEZ 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	8317256-4404	UT
2	367A00000X	Advanced Practice Midwife	8317256-4402	UT
3	163WM0102X	Maternal Newborn Registered Nurse	8317256-3102	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8317256-3102	OTHER	UT	UTAH DEPARTMENT OF COMMERCE- DOPL
2	8317256-4402	OTHER	UT	UTAH DEPARTMENT OF COMMERCE- DOPL

General Provider Information

NPI Number	:	1891456141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY P MARTINEZ CNM

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W LAYTON PKWY STE 2B
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-3692
Country	:	US
Telephone Number	:	801-543-6850
Fax Number	:

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

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	01/30/2026

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Directions to “ WHITNEY P MARTINEZ CNM” Practice Location

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