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Individual

NICOLE M PARISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, CNM

Contact information

Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3709
(330) 480-2568
Mailing address
PO BOX 636988, CINCINNATI, OH 45263-6988
(888) 940-2722
(513) 632-8898

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
COA.11953-NM
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
COA13218NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3122669
OH
01
H003781
MEDICARE PTAN
OH
Enumeration date
11/23/2010
Last updated
10/08/2015
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