Roxianne Dutson, R.N., C.P.M.
Individual provider Active NPI Midwife · Hildale, UT
NPI 1295057677 · NPPES record last updated Feb 25, 2010
Key facts
- NPI
- 1295057677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 268145-3400 (UT)
- Practice address
- 1065 North Hildale Street #459
Hildale, UT 84784-0459 - Phone
- (435) 874-2217
- Fax
- (435) 874-7807
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268145-3400 | UT | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 268145-3400 | UT | Yes |
Addresses
Primary practice location
1065 North Hildale Street #459
Hildale, UT 84784-0459
Mailing address
1065 North Hildale Street #459
PO Box 840459
Hildale, UT 84784-0459
Phone (435) 874-2217
Other providers in Hildale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2010. 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.