Individual
MELISSA M SOUTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3535 PENTAGON BLVD STE 220, BEAVERCREEK, OH 45431-1705
(937) 429-7350
Mailing address
3535 PENTAGON BLVD STE 220, BEAVERCREEK, OH 45431-1705
(651) 442-5343
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
CNM05077
—
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.0019574
OH
Other
Enumeration date
02/19/2019
Last updated
11/16/2023
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