Donna Susan Freeborn, FNP, CNM

Individual provider Active NPI Family Nurse Practitioner · Mapleton, UT

NPI 1982868956 · NPPES record last updated Jul 17, 2008

Key facts

NPI
1982868956
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
367022-4405 (UT)
Practice address
425 N 1800 W
Mapleton, UT 84664-3138
Phone
(801) 489-1164
NPI assigned
Jul 17, 2008
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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
367022-4405UTMDFamily Nurse Practitioner
367022-4402UTMDAdvanced Practice Midwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 367022-4405 UT Yes
Advanced Practice Midwife 367A00000X 367022-4402 UT

Addresses

Primary practice location

425 N 1800 W
Mapleton, UT 84664-3138

Mailing address

PO Box 453
Springville, UT 84663-0453
Phone (801) 489-1164

Other providers in Mapleton, UT

All providers in Mapleton, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.