Provider Demographics
NPI:1801227350
Name:SYLVESTER, HEIDI NIELSON (CPM)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:NIELSON
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:883 E CHERRY WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-9350
Mailing Address - Country:US
Mailing Address - Phone:801-358-2797
Mailing Address - Fax:888-758-9736
Practice Address - Street 1:45 W 9000 S STE 1
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2047
Practice Address - Country:US
Practice Address - Phone:801-358-2797
Practice Address - Fax:888-758-9736
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife