Healthcare Provider Details

I. General information

NPI: 1376309765
Provider Name (Legal Business Name): HANNAH NICOLE BUBNAR CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 02/15/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 ADAIR AVE
ZANESVILLE OH
43701-2843
US

IV. Provider business mailing address

2535 LINBAUGH RD
GROVE CITY OH
43123-9454
US

V. Phone/Fax

Practice location:
  • Phone: 888-454-5157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: