Desiree Irvine, DEM
Midwife, Lay in Hurricane, UT. Individual provider (NPI-1).
NPI number1982253118
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1982253118
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Desiree Irvine
- Credential
- DEM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2019
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175M00000X | Midwife, Lay | – | UT | Yes |
Practice location
154 Grouse DrHurricane, UT 84737-2922
Phone 435-772-5796 · Fax 435-215-4517
Mailing address
154 Grouse DrHurricane, UT 84737-2922
Phone 435-772-5796 · Fax 435-215-4517
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