MEDICARE: ROSEANN MARIE MESSINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175M00000X	Lay Midwife

General Provider Information

NPI Number	:	1184973521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEANN MARIE MESSINA

Provider Business Mailing Address
First Line	:	15800 DETROIT AVE
Second Line	:	SUITE D
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3748
Country	:	US
Telephone Number	:	440-570-6114
Fax Number	:

Provider Business Practice Location Address
First Line	:	15800 DETROIT AVE
Second Line	:	SUITE D
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3748
Country	:	US
Telephone Number	:	440-570-6114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2012
Last Update Date	:	08/30/2012

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Directions to “ ROSEANN MARIE MESSINA ” Practice Location

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