Individual
MICHELLE M MATTICE DANCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNM, RN
Contact information
Practice address
11785 MORRISON MIKESELL RD, NEW PARIS, OH 45347-9214
(937) 437-0444
Mailing address
11785 MORRISON MIKESELL RD, NEW PARIS, OH 45347-9214
(937) 437-0444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28136314A
IN
163W00000X
Registered Nurse
RN 270174
OH
176B00000X
Midwife
Primary
09000105A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2703284
—
OH
Enumeration date
02/23/2007
Last updated
09/11/2025
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