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NPI Code Detail

MEDICARE: HEATHER STROH CNM

MEDICARE: HEATHER STROH CNM
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
1176B00000XMidwifeRN159084GA
2367A00000XAdvanced Practice MidwifeARNP9318311FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710965843
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER STROH CNM
Provider Business Mailing Address
First Line : 1301 HODGES DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4614
Country : US
Telephone Number : 850-431-5714
Fax Number : 850-431-6403
Provider Business Practice Location Address
First Line : 1301 HODGES DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4614
Country : US
Telephone Number : 850-431-5714
Fax Number : 850-431-6403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 04/13/2011

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Directions to “ HEATHER STROH CNM” Practice Location

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