Healthcare Provider Details

I. General information

NPI: 1316617798
Provider Name (Legal Business Name): CHRISTINA KLASMEIER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 W MAIN ST STE 102
WILMINGTON OH
45177-2181
US

IV. Provider business mailing address

630 W MAIN ST STE 102
WILMINGTON OH
45177-2181
US

V. Phone/Fax

Practice location:
  • Phone: 937-283-2588
  • Fax: 937-283-2593
Mailing address:
  • Phone: 937-283-2588
  • Fax: 937-283-2593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM.APRN.0019468
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCNM.APRN.0019468
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: