| Crystal Brekke Miller, CNM | |
|
345 E Gateway Dr Ste 150, Heber City, UT 84032-4625 | |
| (619) 540-0505 | |
| Not Available |
| Full Name | Crystal Brekke Miller |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 345 E Gateway Dr Ste 150, Heber City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598407991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0102X | Registered Nurse - Maternal Newborn | 9102898-3102 (Utah) | Secondary |
| 367A00000X | Advanced Practice Midwife | 9102898-4402 (Utah) | Primary |
| Entity Name | Wow Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356913537 PECOS PAC ID: 5991193526 Enrollment ID: O20211101000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Brekke Miller, CNM 1925 E 70 S, Heber City, UT 84032-4451 Ph: (619) 540-0505 | Crystal Brekke Miller, CNM 345 E Gateway Dr Ste 150, Heber City, UT 84032-4625 Ph: (619) 540-0505 |
Mary Maranda Thomas, CNM, DNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 182 Millbrook Rd, Heber City, UT 84032 Phone: 801-712-4146 | |
Annette Isom Johnson, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 30 E 3000 S, Heber City, UT 84032 Phone: 435-657-0945 | |
Ms. Helen G. Webb, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1050 S 2400 E, Heber City, UT 84032 Phone: 435-654-2892 |