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NPI Lookup from the NPI Registry — National Provider Identifier Database

MARLEE K DALTON, CNM, ARPN – NPI #1730175761
Family


Contact Information

MARLEE K DALTON, CNM, ARPN
2376 N 400 E
SUITE 205
TOOELE, UT84074-3413
 Phone: 435-882-0599
 Fax: 435-882-2111
 Website:
 

Specialty

Taxonomy

Family

363LF0000X
 

Advanced Practice Midwife

367A00000X
 

Women's Health

363LW0102X
Indicates primary specialty
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NPI Information

NPI Number 1730175761
Credentials CNM, ARPN
Entity Individual
Enumeration date 09/26/2005
Last updated 04/14/2014
Sole proprietor No
Identifiers
UT License # 264241-4402
UT License # 264241-4405
UT License # 2642414405
UT Medicaid 1730175761
UT Medicare PIN CNM PTAN# 000063911
UT Medicare PIN FNP PTAN# 005740816
UT Medicare UPIN Q15314
UT Other 264241411002001 REGENCE BCBS

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