Leslie Divall
Midwife in Provo, UT
Registered providerLicense # listed (UT)
Public-record details
- Address
- 589 S State St, Provo, UT 84606
- Phone
- (801) 429-2000
- Listed under
- Midwives (all registered)
- Listing type
- Midwife (individual NPI)
- NPI
- 1639539521
- NPI status
- Active in the NPPES registry
- Registered specialty (self-reported taxonomy)
- Midwife (176B00000X)
- License number on NPI record
- 5611104-4402 (UT)
- NPI first issued
- Mar 4, 2016
- License state on NPI record
- UT
- Years since NPI first issued
- 10 years (since 2016)
- NPI record last updated
- Apr 15, 2020
- Birth center, midwife and doula listings at this street address
- 1 (only this one)
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