Miracle, Amy D

Miracle, Amy D is an individual health care provider with primary practice located at 3535 Olentangy River Rd , Columbus OH 43214-3908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Miracle, Amy D can be contacted via phone (614) 566-4378.

Contact Information

Primary practice address
3535 Olentangy River Rd Columbus OH 43214-3908
Phone: (614) 566-4378
Fax: (614) 533-1216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN260025 Ohio

Profile Details

NPI number 1710980891
LBN Legal business name Miracle, Amy D
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jan 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710980891 NPPES
Ohio MEDICAID 2111306

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