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Carlie Didericksen — NPI 1740071430, South Jordan, UT | NPI Central

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Carlie Didericksen

NPI 1740071430 · Doula · South Jordan, UT

Provider details

NPI number: 1740071430
Entity type: Individual
Primary specialty: DoulaNursing Service Related Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

DoulaPrimary374J00000X
Nursing Service Related Providers

Practice location

2986 W Southpointe Rd

South Jordan, UT 84095-3396

Phone: (801) 516-8056

Approximate (ZIP-level) locationGet directions

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Mailing address

2986 W Southpointe Rd

South Jordan, UT 84095-3396

Registry dates

Enumerated: 2025-05-14
Last updated: 2025-05-14
Certified: 2025-05-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.