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Individual

ANDREA LIGHT CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
245 NORTHWOOD DR, YELLOW SPRINGS, OH 45387-1927
(937) 527-1884
Mailing address
245 NORTHWOOD DR, YELLOW SPRINGS, OH 45387-1927
(937) 527-1884

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.019320
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0199582
OH
Enumeration date
12/29/2016
Last updated
04/25/2018
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