Individual
MARY J NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
20800 CENTER RIDGE RD, ROCKY RIVER, OH 44116-4312
(216) 333-1020
(440) 331-4245
Mailing address
20800 CENTER RIDGE RD, ROCKY RIVER, OH 44116-4312
(216) 333-1020
(216) 331-4245
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN164655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2444386
—
OH
Enumeration date
08/04/2006
Last updated
01/30/2012
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