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Contact Information

KRISTA HENDRICKSON, CNM
527 W 400 N STE 4
OREM, UT84057-1951
 Phone: 801-404-5588
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KRISTA HENDRICKSON · (Female)

NPI Number 1083364137
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 03/23/2022
Last updated 03/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 7690389
  • UT License # 7690389-4402
Hospital affiliation(s) Not Available
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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