Desiri Wightman, CPM, RD
Midwife in Bluffdale, UT. Individual provider (NPI-1).
NPI number1699514422
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1699514422
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Desiri Wightman
- Credential
- CPM, RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2024
- Certification date
- May 21, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | – | – | Yes |
Practice location
1517 W Gun Smoke DrBluffdale, UT 84065-5187
Phone 900-343-3413
Mailing address
6475 W 13100 SHerriman, UT 84096-8911
Phone 385-343-2185
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