Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Coronado, DEM

Individual provider Lay Midwife · NPI 1629688734

Marissa Coronado, DEM is a Lay Midwife in South Jordan, Utah. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

10886 S Shilling Ave Apt 2034
South Jordan, UT 84095-4334
Phone: (510) 305-5460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lay Midwife (primary) Taxonomy 175M00000X

Record details

NPI number1629688734
Entity typeIndividual (Type 1)
GenderFemale
Credentials DEM
Sole proprietorNo
NPI enumeratedAugust 4, 2020
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address10886 S Shilling Ave Apt 2034, South Jordan, UT 84095-4334