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NPI Lookup from the NPI Registry — National Provider Identifier Database

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 Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARLEE K DALTON · (Female)

NPI Number 1730175761
Credentials CNM, ARPN
Entity Individual
Enumeration date 09/26/2005
Last updated 04/14/2014 - About 2 years 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
Hospital affiliation(s)
  • MOUNTAIN WEST MEDICAL CENTER - (Acute Care)
    2055 NORTH MAIN STREET
    TOOELE, UT 84074
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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