Provider Demographics
NPI:1184410839
Name:SCOTT, HEIDI MARIE (CD(DONA))
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 W 1350 N
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84601-5793
Mailing Address - Country:US
Mailing Address - Phone:808-782-6855
Mailing Address - Fax:
Practice Address - Street 1:3014 W 1350 N
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84601-5793
Practice Address - Country:US
Practice Address - Phone:808-782-6855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6708374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula