Valerie J Elhalta
Individual provider Active NPI Lay Midwife · Eagle Mountain, UT
NPI 1104008945 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1104008945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lay Midwife 175M00000X
- License
- NA (UT)
- Practice address
- 4048 Russell Rd
Eagle Mountain, UT 84005-4244 - Phone
- (801) 472-4102
- NPI assigned
- Dec 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | |||
| Lay Midwife | 175M00000X | NA | UT | Yes |
Addresses
Primary practice location
4048 Russell Rd
Eagle Mountain, UT 84005-4244
Mailing address
4048 Russell Rd
Eagle Mountain, UT 84005-4244
Phone (801) 472-4102
Other providers in Eagle Mountain, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.