Provider Demographics
NPI:1891074381
Name:WILLIAMS, KARLA JO (CNM)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:JO
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:JO
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:5107 S 900 E
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-6600
Mailing Address - Country:US
Mailing Address - Phone:801-288-2229
Mailing Address - Fax:801-288-7045
Practice Address - Street 1:5107 S 900 E
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84117-6600
Practice Address - Country:US
Practice Address - Phone:801-288-2229
Practice Address - Fax:801-288-7045
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife