Individual
MRS. STACY ELLEN HUDEPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4834 SOCIALVILLE FOSTER RD STE 60, MASON, OH 45040-6805
(513) 561-8405
Mailing address
4834 SOCIALVILLE FOSTER RD STE 60, MASON, OH 45040-6805
(513) 229-8010
(513) 229-8014
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
05759NM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2260673
—
OH
Enumeration date
08/30/2007
Last updated
02/21/2020
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