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Contact Information

REBECCA A MCINNIS, CNM
2180 E 4500 S
SUITE 150
HOLLADAY, UT84117-4434
 Phone: 801-278-3102
 Fax: 801-278-3112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for REBECCA A MCINNIS · (Female)

NPI Number 1760526438
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 02/16/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 47473784402
  • UT Other 4747378440001 BCBS INSURANCE
  • UT Other 72884 PEHP INSURANCE
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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