Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1033716493 |
---|---|
Provider Name | Taylor Biddle |
First Address | Orem, UT 84058-6354 |
Second Address | Orem, UT 84058-6346 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2020 |
Last Update Date | 04/01/2021 |