LORETTA SHUPE

OGDEN, UT
NPI1376079061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: UT  218152-3400)
Additional Taxonomies163W00000X Registered Nurse
(Licence: UT  218152-3102)
Enumeration Date2017-05-02
Last Update Date2018-11-01
Business Address
LORETTA SHUPE C.P.M., R.N., LDEM
5319 S 500 E
OGDEN, UT 84405
Phone number: 801-917-6104
Mailing Address
LORETTA SHUPE C.P.M., R.N., LDEM
431 E 2700 N
NORTH OGDEN, UT 84414-2332
Phone number: 801-628-4573