Elissa Suzanne Drake, LDEM, CPM
Midwife in Layton, UT. Individual provider (NPI-1).
NPI number1033891791
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1033891791
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elissa Suzanne Drake
- Credential
- LDEM, CPM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2023
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | 6225016-3400 | UT | Yes |
Practice location
1660 W Antelope DrLayton, UT 84041-1156
Phone 801-917-6104
Mailing address
703 N 1050 WClearfield, UT 84015-9331
Phone 801-686-0154
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All 7 Midwife providers in Layton · All 3,481 providers in Layton
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