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NPI Code Detail

MEDICARE: MRS. KAREN ELIZABETH ADY CNM

MEDICARE: MRS. KAREN ELIZABETH ADY 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 MidwifeC-APN-0000519-C-CNMCO
2367A00000XAdvanced Practice Midwife6647925-4402UT

General Provider Information

NPI Number : 1912344342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN ELIZABETH ADY CNM
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line : STE 202
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5121 S COTTONWOOD ST STE 170
Second Line :
City : MURRAY
State : UT
Zip : 84107-5701
Country : US
Telephone Number : 801-507-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2013
Last Update Date : 02/06/2026

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