Individual
MRS. MARY RUTH GORNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2007
Mailing address
624 SOUTHERN BELLE BLVD, BEAVERCREEK, OH 45434-6200
(937) 426-8122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP-00786
OH
367A00000X
Advanced Practice Midwife
Primary
NM-00661
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2190650
—
OH
Enumeration date
02/13/2007
Last updated
09/11/2025
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