Individual
STEPHANIE GANTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 REFUGEE RD, PICKERINGTON, OH 43147-9653
(380) 243-3395
(380) 243-3390
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
370747
OH
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.0019595
OH
Other
Enumeration date
01/09/2023
Last updated
12/21/2023
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