Healthcare Provider Details

I. General information

NPI: 1770586042
Provider Name (Legal Business Name): PATRICIA GRACE MOLONY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2245 BAUER RD
BATAVIA OH
45103-1977
US

IV. Provider business mailing address

2245 BAUER RD
BATAVIA OH
45103-1977
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-3447
  • Fax: 513-231-3761
Mailing address:
  • Phone: 513-231-3447
  • Fax: 513-231-3761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNM07062
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN.CNM.07062
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN229713
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: