Provider Demographics
NPI:1730801267
Name:WILKINSON, MONICA AMY (BS, CBE)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:AMY
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:BS, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 S 800 W
Mailing Address - Street 2:
Mailing Address - City:MAPLETON
Mailing Address - State:UT
Mailing Address - Zip Code:84664-4208
Mailing Address - Country:US
Mailing Address - Phone:801-358-3887
Mailing Address - Fax:
Practice Address - Street 1:1147 S 800 W
Practice Address - Street 2:
Practice Address - City:MAPLETON
Practice Address - State:UT
Practice Address - Zip Code:84664-4208
Practice Address - Country:US
Practice Address - Phone:801-358-3887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula