Individual
MRS. MICHELLE AIMEE CAESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 MEDICAL CENTER DR STE A, SPRINGFIELD, OH 45504-2688
(937) 523-9480
(937) 523-9490
Mailing address
200 MEDICAL CENTER DR STE A, SPRINGFIELD, OH 45504-2688
(937) 523-9480
(937) 523-9490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
309419
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.17178
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180984
—
OH
01
—
APRN.CNP. 17178
STATE LICENSE - OHIO
OH
Enumeration date
04/23/2007
Last updated
02/15/2023
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