Individual
AMY D MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-4378
(614) 533-1216
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN260025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111306
—
OH
Enumeration date
05/23/2005
Last updated
01/25/2022
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