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MARISSA CORONADO DEM
NPI 1629688734
Midwife, Lay in South Jordan, UT

Active since August 04, 2020
10886 S SHILLING AVE APT 2034, SOUTH JORDAN, UT 84095(510) 305-5460 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Coronado Dem NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA CORONADO DEM (NPI 1629688734) is an individual midwife, lay provider in South Jordan, Utah and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1629688734
Entity TypeIndividualFemale
Primary Taxonomy175M00000X
Provider Legal NameMARISSA CORONADOCredential: DEM
Location Address10886 S SHILLING AVE APT 2034South Jordan, UT 84095-4334
Mailing Address10886 S Shilling Ave Apt 2034South Jordan, UT 84095-4334
Phone(510) 305-5460
Sole ProprietorNo
Enumeration DateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
✔ NPI 1629688734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwife, LayOther Service Providers
Taxonomy Code175M00000X
Definition
A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states.
10886 S SHILLING AVE APT 2034, South Jordan, UT 84095
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Coronado's NPI number?

The NPI number for Marissa Coronado is 1629688734. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Marissa Coronado located?

Marissa Coronado practices at 10886 S Shilling Ave Apt 2034, South Jordan, UT 84095. The listed phone number is (510) 305-5460.

What is Marissa Coronado's specialty?

The primary specialty registered for this NPI is Midwife, Lay with taxonomy code 175M00000X.

When was this NPI record last updated?

The NPPES record for Marissa Coronado was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.