MARISSA CORONADO DEM NPI 1629688734

NPI Information

Marissa Coronado, DEM is a midwife lay in South Jordan, UT. The provider is a person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. Marissa Coronado, DEM NPI is 1629688734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10886 S SHILLING AVE APT 2034
SOUTH JORDAN, UT
ZIP 84095-334
Phone: (510) 305-5460

The enumeration date for this NPI number is 8/4/2020 and was last updated on 8/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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