Individual
MRS. BETHANY LEIGH WAYT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, CNM
Contact information
Practice address
1108 VESTER AVE, SPRINGFIELD, OH 45503-1302
(937) 399-7100
Mailing address
1108 VESTER AVE, SPRINGFIELD, OH 45503-1302
(937) 399-7100
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
COA 11370-NM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3088251
—
OH
01
—
NM041111
MEDICARE PTAN
OH
Enumeration date
07/30/2010
Last updated
08/12/2024
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