Lauren Nichole Mix

Individual provider Active NPI Advanced Practice Midwife · Dundee, OH

NPI 1174152193 · NPPES record last updated Oct 25, 2020

Key facts

NPI
1174152193
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
Practice address
9176 Winesburg Rd
Dundee, OH 44624-9437
Phone
(330) 359-0580
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X OH Yes

Addresses

Primary practice location

9176 Winesburg Rd
Dundee, OH 44624-9437

Mailing address

3175 Fickey Dr
Cuyahoga Falls, OH 44223-2837

Other providers in Dundee, OH

All providers in Dundee, OH · Advanced Practice Midwife in Ohio

Sources for this page

Verify at the official NPI Registry.