Provider Demographics
NPI:1801227269
Name:MALONEY, HARMONY ROSE BRIELLE (LDEM, CPM)
Entity Type:Individual
Prefix:
First Name:HARMONY
Middle Name:ROSE BRIELLE
Last Name:MALONEY
Suffix:
Gender:F
Credentials:LDEM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 W 170 N
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-4645
Mailing Address - Country:US
Mailing Address - Phone:801-225-5668
Mailing Address - Fax:877-676-8482
Practice Address - Street 1:560 S STATE ST
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-6354
Practice Address - Country:US
Practice Address - Phone:801-225-5668
Practice Address - Fax:877-676-8482
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8864124-3400176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife