Provider Demographics
NPI:1699556704
Name:BARLOW, ASENATH (CPM, LDEM)
Entity type:Individual
Prefix:
First Name:ASENATH
Middle Name:
Last Name:BARLOW
Suffix:
Gender:F
Credentials:CPM, LDEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14658 S 1690 W
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-3763
Mailing Address - Country:US
Mailing Address - Phone:801-815-6278
Mailing Address - Fax:
Practice Address - Street 1:14658 S 1690 W
Practice Address - Street 2:
Practice Address - City:BLUFFDALE
Practice Address - State:UT
Practice Address - Zip Code:84065-3763
Practice Address - Country:US
Practice Address - Phone:801-815-6278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13572236-3400176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife