Provider Demographics
NPI:1215551601
Name:WITTWER, KAITLYN (CNM)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:WITTWER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:ALBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:1537 W STONE GATE DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-5314
Mailing Address - Country:US
Mailing Address - Phone:801-615-3009
Mailing Address - Fax:
Practice Address - Street 1:1886 W 800 N
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-4097
Practice Address - Country:US
Practice Address - Phone:801-756-5288
Practice Address - Fax:801-418-0941
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7353557-3102163WX0003X
UT7353557-4402367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient