# ELIZABETH BANKES NIEDEREGGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225146558
- **Gender:** F
- **Credential:** C.N.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | RN229708 | OH | — |
| 163WX0003X | Inpatient Obstetric Registered Nurse | RN229708 | OH | — |
| 367A00000X | Advanced Practice Midwife | COA 05290 NM | OH | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 11/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000379320 | BLUE CROSS & BLUE SHIELD | OH |
| 01 | — | 11508741 | CAQH NUMBER | OH |
| 05 | — | 2507764 | — | OH |
| 05 | — | 292503 | — | OH |
| 05 | — | 310832874 | — | OH |
| 05 | — | 310832874029 | — | OH |