Individual
MICA AYANA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1000
(937) 399-7355
Mailing address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1000
(937) 399-7355
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.15882
OH
367A00000X
Advanced Practice Midwife
RN245131
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217023
—
OH
01
—
H588330
MEDICARE OPG
OH
01
—
RN245131
LICENSE
GA
Enumeration date
03/06/2015
Last updated
04/06/2022
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