Provider Demographics
NPI:1205211570
Name:LOVERIDGE, DANICA D F (CNM, DNP)
Entity Type:Individual
Prefix:MRS
First Name:DANICA
Middle Name:D F
Last Name:LOVERIDGE
Suffix:
Gender:F
Credentials:CNM, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10444 S DIMPLE DELL RD
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-4534
Mailing Address - Country:US
Mailing Address - Phone:801-815-0334
Mailing Address - Fax:
Practice Address - Street 1:10444 S DIMPLE DELL RD
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84092-4534
Practice Address - Country:US
Practice Address - Phone:801-815-0334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-28
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8309673-8902367A00000X
UT8309673-4402367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife