Healthcare Provider Details

I. General information

NPI: 1013297811
Provider Name (Legal Business Name): MICHELLE LYNN DUCAT APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 E MAIN ST
AMELIA OH
45102-1993
US

IV. Provider business mailing address

43 E MAIN ST
AMELIA OH
45102-1993
US

V. Phone/Fax

Practice location:
  • Phone: 513-947-7000
  • Fax: 513-947-7001
Mailing address:
  • Phone: 513-947-7000
  • Fax: 513-947-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN.328031-COA1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: