Healthcare Provider Details

I. General information

NPI: 1255894598
Provider Name (Legal Business Name): MARIANNE RUTH VOIGT APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIANNE RUTH ETOLL APRN-CNM

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 E ELM ST STE 101
LIMA OH
45804-2803
US

IV. Provider business mailing address

1001 BELLEFONTAINE AVE
LIMA OH
45804-2800
US

V. Phone/Fax

Practice location:
  • Phone: 419-998-8245
  • Fax:
Mailing address:
  • Phone: 419-226-5018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN.CNM.019395
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: