Individual
MS. SUSAN R ROVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1180 E MAIN ST, COLUMBUS, OH 43205-1902
(614) 645-5535
(614) 645-5546
Mailing address
1800 WATERMARK DR, STE 420, COLUMBUS, OH 43215-1072
(614) 645-5500
(614) 645-5517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.125610-1
OH
367A00000X
Advanced Practice Midwife
Primary
COA.01478-NM
OH
367A00000X
Advanced Practice Midwife
CTP.01478
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167279
—
OH
Enumeration date
05/09/2007
Last updated
04/13/2016
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