IndividualActive
Whitney Mickelsen, CPM, LDEM
NPI 1629753140 · Midwife · Holladay, UT
Whitney Mickelsen, CPM, LDEM is a Midwife provider in Holladay, UT (NPI 1629753140).
Provider details
- NPI number
- 1629753140
- Entity type
- Individual
- Primary specialty
- MidwifeOther Service Providers
- Credential
- CPM, LDEM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13330292-3400 (UT)
Practice location
4359 S Highland Dr
Holladay, UT 84124-3539
Phone: (888) 755-7155
Fax: (801) 723-3115
Street-level locationGet directions
Mailing address
1190 E 300 S
Salt Lake City, UT 84102-2506
Registry dates
- Enumerated
- 2023-06-21
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.