Amy Olson Cpm Ldem
Clinic/Center, Birthing in Bluffdale, UT. Organization (NPI-2).
NPI number1548862808
StatusActive
Last updated in NPPESNov 11, 2020
Details
- NPI
- 1548862808
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy Olson Cpm Ldem
- Organization subpart
- No
- Enumeration date
- Nov 11, 2020
- Certification date
- Nov 11, 2020
- Last updated
- Nov 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QB0400X | Clinic/Center, Birthing | – | – | Yes |
| 176B00000X | Midwife | – | – |
Other names
- Peaceful Birth Midwifery (Doing Business As)
- Peaceful Birth Midwifery Birth Center (Other Name)
Practice location
1517 W Gun Smoke DrBluffdale, UT 84065-5187
Phone 702-505-4575 · Fax 702-825-0097
Mailing address
1517 W Gun Smoke DrBluffdale, UT 84065-5187
Phone 702-505-4575 · Fax 702-825-0097
Authorized official
Amy Olson
Ceo
7025054575
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