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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:
 

Taxonomy / Specialty

Taxonomy Code

Family

363LF0000X
 

Advanced Practice Midwife

367A00000X
 

Women's Health

363LW0102X
Indicates primary specialty
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NPI Information for MARLEE K DALTON · (Female)

NPI Number 1730175761
Credentials CNM, ARPN
Entity Individual
Enumeration date 09/26/2005
Last updated 04/14/2014 - About 8 months ago
Sole proprietor 1 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
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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